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General NPI Number Information
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NPI Number | 1942617881
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Entity Type | Organization
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Legal Business Name | IHS PAIN GROUP FRISCO PA
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Dates
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Enumeration Date | 07/11/2014
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Last Update Date | 07/11/2014
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Provider Practice Location Address
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Address Line | 6351 PRESTON RD STE 295
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City | FRISCO
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State | TX
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Zip | 75034-6422
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Country | US
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Telephone | 214-872-3381
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Fax | 214-872-3387
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Provider Business Mailing Address
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Address Line | 6351 PRESTON RD STE 295
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City | FRISCO
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State | TX
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Zip | 75034-6422
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Country | US
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Telephone | 214-872-3381
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Fax | 214-872-3387
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Authorized Official
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Title or Position | OWNER
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Name | MR. TIMOTHY PRINGLE
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Credential | M.D.
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Telephone | 214-872-3381
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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 | TX
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