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General NPI Number Information
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NPI Number | 1689028334
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Entity Type | Organization
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Legal Business Name | BILLY DIMAS MD PLLC
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Dates
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Enumeration Date | 04/19/2016
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Last Update Date | 05/08/2017
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Provider Practice Location Address
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Address Line | 5610 NORTHMOOR DR
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City | DALLAS
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State | TX
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Zip | 75230-2644
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Country | US
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Telephone | 832-265-7717
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Fax | 817-622-8068
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Provider Business Mailing Address
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Address Line | 5610 NORTHMOOR DR
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City | DALLAS
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State | TX
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Zip | 75230-2644
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Country | US
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Telephone | 832-265-7717
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Fax | 817-622-8068
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Authorized Official
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Title or Position | PRESIDENT
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Name | VASSILIS DIMAS
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Credential | M.D.
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Telephone | 832-265-7717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | N5653
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License Number State | TX
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