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General NPI Number Information
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NPI Number | 1801194675
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Entity Type | Organization
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Legal Business Name | DALLAS SARCOMA ASSOCIATES PA
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Dates
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Enumeration Date | 03/03/2011
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Last Update Date | 03/03/2011
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Provider Practice Location Address
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Address Line | 4728 CROOKED LN
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City | DALLAS
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State | TX
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Zip | 75229-4211
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Country | US
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Telephone | 214-629-5055
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Fax |
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Provider Business Mailing Address
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Address Line | 4728 CROOKED LN
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City | DALLAS
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State | TX
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Zip | 75229-4211
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Country | US
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Telephone | 214-629-5055
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. JORGE CASAS
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Credential | MD
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Telephone | 214-629-5055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | L2174
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License Number State | TX
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