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General NPI Number Information
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NPI Number | 1679772917
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Entity Type | Organization
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Legal Business Name | AUBURNDALE CORPORATION
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 7515 GREENVILLE AVE SUITE 605
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City | DALLAS
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State | TX
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Zip | 75231-3831
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Country | US
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Telephone | 214-361-0995
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Fax | 214-361-0865
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Provider Business Mailing Address
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Address Line | 7515 GREENVILLE AVE SUITE 605
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City | DALLAS
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State | TX
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Zip | 75231-3831
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Country | US
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Telephone | 214-361-0995
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Fax | 214-361-0865
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN PAUL SANDERS
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Credential | M.D.
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Telephone | 214-361-0995
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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 | E1113
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License Number State | TX
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