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General NPI Number Information
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NPI Number | 1689021917
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Entity Type | Organization
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Legal Business Name | DOCTORS EXTENDERS, INC
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Dates
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Enumeration Date | 05/17/2016
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Last Update Date | 07/17/2024
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Provider Practice Location Address
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Address Line | 7 MEDICAL PKWY
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-7829
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Country | US
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Telephone | 972-888-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 13101 PRESTON RD STE 110526
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City | DALLAS
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State | TX
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Zip | 75240-5237
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Country | US
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Telephone | 214-674-8658
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Fax | 817-887-4702
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN S MORROW
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Credential | NP
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Telephone | 214-674-8658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP115380
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License Number State | TX
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