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General NPI Number Information
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NPI Number | 1689629941
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Entity Type | Organization
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Legal Business Name | METHODIST HOSPITALS OF DALLAS
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 2700 E BROAD ST
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City | MANSFIELD
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State | TX
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Zip | 76063-5899
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Country | US
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Telephone | 682-622-2000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 911875
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City | DALLAS
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State | TX
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Zip | 75391-1875
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Country | US
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Telephone | 682-242-2000
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VP & CFO
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Name | CRAIG ALLEN BJERKE
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Credential |
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Telephone | 214-947-4512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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