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General NPI Number Information
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NPI Number | 1932169190
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Entity Type | Individual
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Provider Name | ERIN T. BIRD M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 1300 W TERRELL AVE STE 400
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City | FORT WORTH
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State | TX
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Zip | 76104-2829
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Country | US
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Telephone | 817-250-7247
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-7408
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Country | US
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Telephone |
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Fax |
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | J7307
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | J7307
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License Number State | TX
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