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General NPI Number Information
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NPI Number | 1679906267
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Entity Type | Organization
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Legal Business Name | TEXAS PREMIERE HOSPITALIST SERVICES PA
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Dates
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Enumeration Date | 08/19/2013
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Last Update Date | 08/23/2013
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Provider Practice Location Address
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Address Line | 3500 W WHEATLAND RD
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City | DALLAS
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State | TX
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Zip | 75237-3460
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Country | US
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Telephone | 214-947-7777
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Fax | 214-947-2525
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Provider Business Mailing Address
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Address Line | PO BOX 638314
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City | CINCINNATI
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State | OH
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Zip | 45263-8314
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Country | US
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Telephone | 800-424-3672
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Fax | 954-377-3042
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELLIOTT L COHEN
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Credential | MD
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Telephone | 800-424-3672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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