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General NPI Number Information
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NPI Number | 1811379134
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Entity Type | Organization
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Legal Business Name | SOUTHWEST ARTHRITIS RESEARCH GROUP PA
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Dates
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Enumeration Date | 06/23/2015
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Last Update Date | 06/23/2015
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Provider Practice Location Address
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Address Line | 1600 REPUBLIC PKWY SUITE 140
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City | MESQUITE
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State | TX
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Zip | 75150-6918
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Country | US
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Telephone | 972-288-2600
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Fax | 972-288-8886
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Provider Business Mailing Address
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Address Line | 1600 REPUBLIC PKWY SUITE 140
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City | MESQUITE
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State | TX
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Zip | 75150-6918
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Country | US
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Telephone | 972-288-2600
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Fax | 972-288-8886
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Authorized Official
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Title or Position | PRESIDENT
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Name | ATUL SINGHAL
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Credential | MD
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Telephone | 972-288-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | J8374
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License Number State | TX
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