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General NPI Number Information
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NPI Number | 1952069908
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Entity Type | Organization
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Legal Business Name | HEALTH-DISPATCH MEDICAL LLC
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Dates
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Enumeration Date | 12/07/2021
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 3701 N LOY LAKE RD RM 300-A
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City | SHERMAN
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State | TX
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Zip | 75090-2501
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Country | US
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Telephone | 903-815-4007
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Fax | 903-347-2718
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Provider Business Mailing Address
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Address Line | 3701 N LOY LAKE RD RM 300-A
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City | SHERMAN
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State | TX
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Zip | 75090-2501
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Country | US
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Telephone | 903-815-4007
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Fax | 903-347-2718
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Authorized Official
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Title or Position | PHYSICIAN'S ASSISTANT
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Name | MR. PHILIP HOWARD YEILDING
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Credential | P.A.
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Telephone | 903-815-4007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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