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General NPI Number Information
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NPI Number | 1912957499
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Entity Type | Individual
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Provider Name | GREGORY BRYAN CARTWRIGHT M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 12/16/2011
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Provider Practice Location Address
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Address Line | 3109 6TH AVE STE A
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City | FORT WORTH
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State | TX
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Zip | 76110-3800
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Country | US
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Telephone | 817-923-7055
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Fax | 817-923-7902
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Provider Business Mailing Address
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Address Line | 2712 NORWOOD LN
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City | ARLINGTON
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State | TX
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Zip | 76013-1247
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Country | US
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Telephone | 817-897-0687
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Fax | 817-897-0687
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | H7544
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License Number State | TX
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