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General NPI Number Information
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NPI Number | 1689987851
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
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Dates
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Enumeration Date | 07/16/2010
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 800 W RANDOL MILL RD
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City | ARLINGTON
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State | TX
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Zip | 76012-2504
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Country | US
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Telephone | 214-645-0624
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Fax | 214-645-0078
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Provider Business Mailing Address
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Address Line | PO BOX 845347
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City | DALLAS
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State | TX
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Zip | 75284-5347
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Country | US
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Telephone | 214-645-0624
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Fax | 214-645-0078
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | BRUCE A. MEYER
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Credential | M.D.
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Telephone | 214-645-0624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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