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General NPI Number Information
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NPI Number | 1851789218
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Entity Type | Organization
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Legal Business Name | SCOTT A HRNACK MD PA
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Dates
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Enumeration Date | 01/07/2015
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Last Update Date | 01/07/2015
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Provider Practice Location Address
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Address Line | 2813 W SOUTHLAKE BLVD SUITE 100
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6829
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Country | US
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Telephone | 817-310-8783
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Fax | 817-431-0735
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Provider Business Mailing Address
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Address Line | 2813 W SOUTHLAKE BLVD SUITE 100
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6829
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Country | US
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Telephone | 817-310-8783
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Fax | 817-431-0735
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | PETE ROSE
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Credential |
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Telephone | 817-310-8783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | M7280
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License Number State | TX
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