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General NPI Number Information
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NPI Number | 1902099575
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Entity Type | Organization
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Legal Business Name | ARLINGTON MANSFIELD SURGERY-ENDOSCOPY CENTER, LLC
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Dates
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Enumeration Date | 08/27/2007
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Last Update Date | 08/27/2007
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Provider Practice Location Address
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Address Line | 701 INTERSTATE 20 E SUITE 151
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City | ARLINGTON
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State | TX
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Zip | 76018-1130
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Country | US
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Telephone | 817-966-1579
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Fax |
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Provider Business Mailing Address
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Address Line | 701 INTERSTATE 20 E SUITE 151
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City | ARLINGTON
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State | TX
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Zip | 76018-1130
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Country | US
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Telephone | 817-966-1579
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAVID DANIEL
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Credential |
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Telephone | 817-966-1579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number |
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License Number State |
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