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General NPI Number Information
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NPI Number | 1811913916
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Entity Type | Organization
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Legal Business Name | ER ASSOCIATES OF NORTH TEXAS PA
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 11/06/2012
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Provider Practice Location Address
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Address Line | 8245 PRECINCT LINE RD SUITE 100
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76182-8672
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Country | US
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Telephone | 817-503-8800
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Fax | 817-503-8801
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Provider Business Mailing Address
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Address Line | 8245 PRECINCT LINE RD SUITE 100
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76182-8672
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Country | US
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Telephone | 817-503-8800
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Fax | 817-503-8801
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. FRANK GENCO
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Credential | MD
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Telephone | 817-503-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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