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General NPI Number Information
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NPI Number | 1710159371
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Entity Type | Organization
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Legal Business Name | UT SOUTHWESTERN MEDICAL CENTER
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 1801 INWOOD RD SUITE W16.516
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City | DALLAS
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State | TX
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Zip | 75390-0001
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Country | US
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Telephone | 214-648-9685
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 INWOOD RD
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City | DALLAS
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State | TX
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Zip | 75390-0001
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Country | US
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Telephone | 214-645-2910
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Fax |
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Authorized Official
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Title or Position | CLINIC MANAGER
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Name | CINDY LEFTWICH
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Credential |
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Telephone | 214-645-2910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 1070575
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License Number State | NY
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