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General NPI Number Information
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NPI Number | 1669672887
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Entity Type | Organization
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Legal Business Name | SIGHTLINE OF DALLAS LLP
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 17950 PRESTON RD STE 120
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City | DALLAS
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State | TX
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Zip | 75252-5793
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Country | US
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Telephone | 214-453-2004
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Fax | 214-453-2513
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Provider Business Mailing Address
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Address Line | 1415 NORTH LOOP W STE 1185
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City | HOUSTON
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State | TX
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Zip | 77008-1660
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | TJ FARNSWORTH
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Credential |
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Telephone | 713-795-5010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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