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General NPI Number Information
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NPI Number | 1821803438
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Entity Type | Organization
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Legal Business Name | DR T AND ASSOCIATES
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 1800 W PIONEER PKWY
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City | ARLINGTON
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State | TX
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Zip | 76013-6105
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Country | US
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Telephone | 817-274-0329
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Fax | 817-859-8139
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Provider Business Mailing Address
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Address Line | 1800 W PIONEER PKWY
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City | ARLINGTON
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State | TX
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Zip | 76013-6105
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Country | US
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Telephone | 817-274-0329
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Fax | 817-859-8139
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JEANINE THOMAS
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Credential | DO
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Telephone | 817-274-0329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine 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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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