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General NPI Number Information
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NPI Number | 1851695795
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Entity Type | Organization
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Legal Business Name | GREATER DALLAS HEALTHCARE ENTERPRISES
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Dates
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Enumeration Date | 01/07/2011
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 11302 FALLBROOK DR STE. 201
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City | HOUSTON
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State | TX
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Zip | 77065-4235
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Country | US
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Telephone | 281-809-7811
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Fax | 281-890-4905
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Provider Business Mailing Address
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Address Line | PO BOX 840711
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City | DALLAS
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State | TX
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Zip | 75284-0711
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Country | US
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Telephone | 281-809-7811
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Fax | 281-890-4905
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Authorized Official
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Title or Position | SR DIR, ADMINISTR 501A, TENET
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Name | MR. ROBERT BRANSTETTER
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Credential |
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Telephone | 469-893-2000
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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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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology 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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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