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General NPI Number Information
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NPI Number | 1750322954
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Entity Type | Individual
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Provider Name | GARY EDWARD ERWIN JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 10/18/2007
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Provider Practice Location Address
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Address Line | 1901 N MACARTHUR BLVD
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City | IRVING
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State | TX
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Zip | 75061-2220
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Country | US
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Telephone | 972-579-8485
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Fax |
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Provider Business Mailing Address
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Address Line | 2965 PHYLLIS LN
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-6424
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Country | US
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Telephone | 972-243-6255
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L5323
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | L5323
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | L5323
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License Number State | TX
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