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General NPI Number Information
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NPI Number | 1801969621
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Entity Type | Organization
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Legal Business Name | VICTOR L VINES MD PA
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 12200 PARK CENTRAL DR STE 403
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City | DALLAS
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State | TX
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Zip | 75251-2100
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Country | US
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Telephone | 972-774-9990
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 660046
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City | DALLAS
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State | TX
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Zip | 75266-0046
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Country | US
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Telephone | 214-369-8555
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | DAVID MCALPIN
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Credential |
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Telephone | 214-369-8555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology 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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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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 | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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