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General NPI Number Information
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NPI Number | 1801106661
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS FERTILITY, LLC
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Dates
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Enumeration Date | 10/14/2010
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Last Update Date | 10/14/2010
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Provider Practice Location Address
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Address Line | 950 SCOTLAND DR
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City | DESOTO
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State | TX
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Zip | 75115-2057
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Country | US
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Telephone | 972-572-1226
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Fax | 972-499-2469
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Provider Business Mailing Address
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Address Line | 950 SCOTLAND DR
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City | DESOTO
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State | TX
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Zip | 75115-2057
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Country | US
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Telephone | 972-572-1226
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Fax | 972-499-2469
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUNDAY S CRIDER-PIRKLE
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Credential | PH.D.
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Telephone | 972-572-1226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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