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General NPI Number Information
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NPI Number | 1649273434
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Entity Type | Organization
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Legal Business Name | BAYLOR REGIONAL MEDICAL CENTER AT PLANO
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 4700 ALLIANCE BLVD
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City | PLANO
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State | TX
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Zip | 75093-5323
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Country | US
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Telephone | 469-814-2000
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Fax | 469-814-2999
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Provider Business Mailing Address
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Address Line | PO BOX 849829
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City | DALLAS
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State | TX
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Zip | 75284-9829
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Country | US
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Telephone | 214-820-6710
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Fax | 214-820-7950
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Authorized Official
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Title or Position | CEO
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Name | JERRI GARISON
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Credential |
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Telephone | 469-814-3176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 008140
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License Number State | TX
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