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General NPI Number Information
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NPI Number | 1699389841
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Entity Type | Organization
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Legal Business Name | BSW TRANSPLANT SERVICES PLLC
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Dates
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Enumeration Date | 09/04/2020
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Last Update Date | 09/04/2020
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Provider Practice Location Address
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Address Line | 301 N WASHINGTON AVE
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City | DALLAS
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State | TX
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Zip | 75246-1754
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Country | US
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Telephone | 214-265-3787
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Fax | 214-865-4238
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Provider Business Mailing Address
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Address Line | 301 N WASHINGTON AVE
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City | DALLAS
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State | TX
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Zip | 75246-1754
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | TIFFANY BERRY
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Credential |
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Telephone | 254-742-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number |
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License Number State |
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