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General NPI Number Information
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NPI Number | 1942412622
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS INTERNAL MEDICINE ASSOCIATES, L.L.P.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 11/25/2014
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Provider Practice Location Address
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Address Line | 3600 GASTON AVE STE 303
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City | DALLAS
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State | TX
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Zip | 75246-1803
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Country | US
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Telephone | 214-828-2889
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Fax | 214-828-9530
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Provider Business Mailing Address
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Address Line | 3600 GASTON AVE STE 303
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City | DALLAS
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State | TX
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Zip | 75246-1803
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Country | US
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Telephone | 214-828-2889
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Fax | 214-828-9530
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. THOMAS JAMES STREFF
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Credential |
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Telephone | 214-828-2889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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