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General NPI Number Information
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NPI Number | 1871527531
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Entity Type | Organization
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Legal Business Name | PARK CITIES DERMATOLOGY, PA
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 4420 W LOVERS LN
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City | DALLAS
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State | TX
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Zip | 75209-3130
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Country | US
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Telephone | 214-373-7546
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Fax | 214-373-7545
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Provider Business Mailing Address
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Address Line | PO BOX 610429
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City | DALLAS
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State | TX
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Zip | 75261-0429
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Country | US
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Telephone | 214-373-7546
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Fax | 214-373-7545
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MARK TURNER
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Credential |
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Telephone | 214-373-7546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number |
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License Number State |
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