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General NPI Number Information
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NPI Number | 1891741922
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Entity Type | Organization
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Legal Business Name | PATIENT PLACE P.A.
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 401 HOSPITAL DR STE 140
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City | CORSICANA
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State | TX
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Zip | 75110
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Country | US
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Telephone | 903-201-6405
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Fax | 903-257-3800
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Provider Business Mailing Address
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Address Line | 14850 MONTFORT DR STE 181
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City | DALLAS
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State | TX
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Zip | 75254-1450
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Country | US
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Telephone | 214-715-6526
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Fax |
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Authorized Official
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Title or Position | COO
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Name | JAMES W. BLAMER
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Credential |
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Telephone | 214-333-7333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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