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General NPI Number Information
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NPI Number | 1871962670
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Entity Type | Organization
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Legal Business Name | M&D SPECIALTY SERVICES PA
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Dates
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Enumeration Date | 09/22/2015
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 3321 UNICORN LAKE BLVD SUITE 121
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City | DENTON
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State | TX
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Zip | 76210
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Country | US
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Telephone | 940-387-6248
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Fax | 940-381-1881
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Provider Business Mailing Address
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Address Line | P.O. BOX 50870
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City | DENTON
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State | TX
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Zip | 76206
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Country | US
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Telephone | 940-387-6248
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Fax | 940-381-1881
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN DULEMBA
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Credential | M.D.
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Telephone | 940-387-6248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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