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General NPI Number Information
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NPI Number | 1730749110
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Entity Type | Individual
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Provider Name | WILLIAM FREDERICK MCCOMAS MD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2019
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 1935 MEDICAL DISTRICT DR
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City | DALLAS
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State | TX
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Zip | 75235-7701
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Country | US
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Telephone | 214-648-3382
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Fax |
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Provider Business Mailing Address
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Address Line | 703 VALENCIA ST
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City | DALLAS
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State | TX
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Zip | 75223-1324
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Country | US
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Telephone | 479-305-3845
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2021004962
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2021004962
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | V7575
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License Number State | TX
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