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General NPI Number Information
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NPI Number | 1891959698
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Entity Type | Organization
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Legal Business Name | TRICIA SHIMER MD PA
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Dates
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Enumeration Date | 07/11/2008
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 8160 WALNUT HILL LN SUITE 306
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City | DALLAS
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State | TX
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Zip | 75231-4339
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Country | US
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Telephone | 214-578-0519
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Fax |
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Provider Business Mailing Address
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Address Line | 8160 WALNUT HILL LN SUITE 306
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City | DALLAS
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State | TX
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Zip | 75231-4339
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Country | US
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Telephone | 214-578-0519
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TRICIA A. SHIMER
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Credential | MD
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Telephone | 214-578-0519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | L2006
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License Number State | TX
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