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General NPI Number Information
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NPI Number | 1750573184
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Entity Type | Organization
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Legal Business Name | DAVID B. SEROTA, MD, PA
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 9440 POPPY DR
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City | DALLAS
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State | TX
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Zip | 75218-3652
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Country | US
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Telephone | 214-402-8106
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 670654
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City | DALLAS
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State | TX
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Zip | 75367-0654
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Country | US
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Telephone | 214-402-8106
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Fax |
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Authorized Official
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Title or Position | BUISNESS ADMINISTRATOR
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Name | MARCI SEROTA
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Credential | R.D.
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Telephone | 214-402-8106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | M5493
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License Number State | TX
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