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General NPI Number Information
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NPI Number | 1851864854
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Entity Type | Organization
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Legal Business Name | AUSTIN & REDDICK DERMATOLOGY, PLLC
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Dates
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Enumeration Date | 01/02/2019
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Last Update Date | 01/02/2019
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Provider Practice Location Address
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Address Line | 9301 N CENTRAL EXPY STE 470
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City | DALLAS
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State | TX
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Zip | 75231-0806
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Country | US
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Telephone | 214-808-1816
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Fax |
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Provider Business Mailing Address
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Address Line | 4321 COLGATE AVE
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City | DALLAS
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State | TX
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Zip | 75225-6632
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Country | US
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Telephone | 214-808-1816
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CLAIRE S REDDICK
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Credential | MD
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Telephone | 214-808-1816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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