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General NPI Number Information
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NPI Number | 1902266208
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS COMPREHENSIVE CARDIOLOGY, PLLC
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Dates
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Enumeration Date | 02/29/2016
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Last Update Date | 03/14/2016
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Provider Practice Location Address
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Address Line | 425 N HIGHLAND AVE SUITE 120
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City | SHERMAN
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State | TX
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Zip | 75092-7377
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Country | US
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Telephone | 903-361-7869
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Fax | 903-598-7726
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Provider Business Mailing Address
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Address Line | 425 N HIGHLAND AVE SUITE 120
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City | SHERMAN
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State | TX
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Zip | 75092-7377
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Country | US
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Telephone | 903-361-7869
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Fax | 903-598-7726
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | THERESA M ULMER
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Credential |
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Telephone | 903-821-6177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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