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General NPI Number Information
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NPI Number | 1740227495
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Entity Type | Organization
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Legal Business Name | COUNTY OF DALLAS
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 11/14/2013
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Provider Practice Location Address
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Address Line | 2377 N STEMMONS FWY
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City | DALLAS
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State | TX
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Zip | 75207-2710
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Country | US
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Telephone | 214-819-1819
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Fax | 214-819-6057
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Provider Business Mailing Address
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Address Line | 2377 N STEMMONS FWY
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City | DALLAS
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State | TX
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Zip | 75207-2710
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Country | US
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Telephone | 214-819-2109
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Fax | 214-819-2107
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ZACHARY THOMPSON
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Credential |
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Telephone | 214-819-2101
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | R11347
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 45D0672012
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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