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General NPI Number Information
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NPI Number | 1932969672
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Entity Type | Organization
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Legal Business Name | NORTHTEXAS CENTER FOR MINIMALLYINVASIVE GYNECOLOGIC AND PELVIC SURGERY
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 1400 N COIT RD STE 404
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City | MCKINNEY
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State | TX
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Zip | 75071-6657
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Country | US
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Telephone | 945-277-8818
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 N COIT RD STE 404
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City | MCKINNEY
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State | TX
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Zip | 75071-6657
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Country | US
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Telephone | 945-277-8818
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. ADAM SHOMAN
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Credential | MD
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Telephone | 945-277-8188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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