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General NPI Number Information
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NPI Number | 1841173945
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Entity Type | Organization
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Legal Business Name | GENERATION ONE BILLING LLC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1833 EASTERN HILLS DR
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City | GARLAND
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State | TX
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Zip | 75043-1412
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Country | US
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Telephone | 863-558-6605
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Fax |
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Provider Business Mailing Address
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Address Line | 2334 W BUCKINGHAM RD STE 230
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City | GARLAND
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State | TX
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Zip | 75042-3971
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Country | US
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Telephone | 863-558-5505
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Fax |
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Authorized Official
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Title or Position | OWNER / MANAGING MEMBER
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Name | BEAU A ARCHIBALD
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Credential |
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Telephone | 863-558-6605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family 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 | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology 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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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Taxonomy #8
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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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