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General NPI Number Information
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NPI Number | 1689896045
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Entity Type | Organization
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Legal Business Name | LAWRENCE B MCNALLY INC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 04/16/2013
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Provider Practice Location Address
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Address Line | 6029 BELT LINE RD SUITE 105
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City | DALLAS
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State | TX
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Zip | 75254-7873
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Country | US
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Telephone | 972-385-0000
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Fax | 972-385-1231
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Provider Business Mailing Address
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Address Line | 6029 BELT LINE RD STE 105
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City | DALLAS
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State | TX
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Zip | 75254-7873
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Country | US
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Telephone | 972-385-0000
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Fax | 972-385-1231
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Authorized Official
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Title or Position | PHYSICIAN
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Name | LAWRENCE B MCNALLY
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Credential | M.D.
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Telephone | 972-385-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G2780
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License Number State | TX
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