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General NPI Number Information
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NPI Number | 1821672122
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Entity Type | Organization
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Legal Business Name | CVC MEDICAL PA
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Dates
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Enumeration Date | 05/12/2021
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 1000 E BELT LINE RD # 112
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City | CARROLLTON
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State | TX
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Zip | 75006-6282
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Country | US
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Telephone | 972-338-5574
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Fax | 469-393-7206
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Provider Business Mailing Address
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Address Line | 1000 E BELT LINE RD STE 112
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City | CARROLLTON
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State | TX
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Zip | 75006-6282
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Country | US
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Telephone | 972-338-5574
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTINA CASEY
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Credential | DO
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Telephone | 972-338-5574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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