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General NPI Number Information
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NPI Number | 1710268305
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Entity Type | Organization
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Legal Business Name | AMERICAN VISITING DOCTORS LLC
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 5050 QUORUM DR STE 700
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City | DALLAS
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State | TX
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Zip | 75254-1410
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Country | US
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Telephone | 832-398-6786
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Fax | 800-878-3830
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Provider Business Mailing Address
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Address Line | 11200 BROADWAY ST STE 2743
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City | PEARLAND
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State | TX
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Zip | 77584-9787
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Country | US
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Telephone | 800-409-1920
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Fax | 800-878-3830
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MARILOU ORO
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Credential | DNP
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Telephone | 800-409-1920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | H5039
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | H5039
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License Number State | TX
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