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General NPI Number Information
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NPI Number | 1871536094
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Entity Type | Organization
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Legal Business Name | DFW MEDICAL ASSOCIATES, P.A.
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 04/27/2015
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Provider Practice Location Address
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Address Line | 8501 N MACARTHUR BLVD # 1148
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City | IRVING
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State | TX
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Zip | 75063-4100
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Country | US
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Telephone | 972-385-9898
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Fax | 888-770-6360
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Provider Business Mailing Address
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Address Line | PO BOX 631148
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City | IRVING
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State | TX
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Zip | 75063-0013
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Country | US
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Telephone | 972-385-9898
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Fax | 888-770-6360
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Authorized Official
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Title or Position | PHYISCIAN/OWNER
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Name | ANIL I DESAI
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Credential | MD
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Telephone | 972-385-9898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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