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General NPI Number Information
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NPI Number | 1851687081
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Entity Type | Organization
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Legal Business Name | FELIX SEGOVIA MD ASSOCIATED
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 06/27/2011
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Provider Practice Location Address
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Address Line | 1810 S JOSEY LN
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City | CARROLLTON
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State | TX
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Zip | 75006-7517
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Country | US
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Telephone | 972-242-7684
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Fax | 972-245-0356
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Provider Business Mailing Address
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Address Line | 1810 S JOSEY LN
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City | CARROLLTON
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State | TX
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Zip | 75006-7517
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Country | US
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Telephone | 972-242-7684
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Fax | 972-245-0356
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Authorized Official
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Title or Position | OWNER
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Name | FELIX SEGOVIA
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Credential | MD
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Telephone | 972-242-7684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | D2062
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License Number State | TX
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