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General NPI Number Information
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NPI Number | 1821348558
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Entity Type | Organization
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Legal Business Name | GLEN LAKES OB GYN PA
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Dates
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Enumeration Date | 09/10/2012
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Last Update Date | 09/10/2012
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Provider Practice Location Address
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Address Line | 8140 WALNUT HILL LANE SUITE 800
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City | DALLAS
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State | TX
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Zip | 75231-4396
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Country | US
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Telephone | 214-692-8660
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Fax | 214-692-8096
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Provider Business Mailing Address
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Address Line | 8140 WALNUT HILL LANE SUITE 800
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City | DALLAS
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State | TX
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Zip | 75231-4396
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Country | US
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Telephone | 214-692-8660
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Fax | 214-692-8096
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT S DARROW
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Credential | MD
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Telephone | 214-692-8660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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