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General NPI Number Information
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NPI Number | 1831670397
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Entity Type | Organization
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Legal Business Name | NTOS LLC
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 4090 MAPLESHADE LN STE 100
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City | PLANO
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State | TX
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Zip | 75093-0025
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Country | US
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Telephone | 214-400-2905
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Fax | 214-592-9935
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Provider Business Mailing Address
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Address Line | 4090 MAPLESHADE LN
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City | PLANO
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State | TX
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Zip | 75093-0024
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Country | US
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Telephone | 214-400-2905
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Fax | 214-592-9935
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Authorized Official
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Title or Position | MD
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Name | VUDHI SLABISAK
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Credential |
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Telephone | 972-567-6595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain 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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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