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General NPI Number Information
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NPI Number | 1679875140
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Entity Type | Organization
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Legal Business Name | ROBERT C. TERRILL, P.A.
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Dates
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Enumeration Date | 12/03/2010
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Last Update Date | 12/03/2010
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Provider Practice Location Address
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Address Line | 1220 COIT RD SUITE 101
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City | PLANO
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State | TX
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Zip | 75075-7757
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Country | US
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Telephone | 972-596-7227
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Fax | 972-964-3082
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Provider Business Mailing Address
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Address Line | 1220 COIT RD SUITE 101
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City | PLANO
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State | TX
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Zip | 75075-7757
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Country | US
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Telephone | 972-596-7227
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Fax | 972-964-3082
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT CLARK TERRILL
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Credential | M.D.
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Telephone | 972-596-7227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | D7328
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License Number State | TX
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