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General NPI Number Information
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NPI Number | 1962489930
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Entity Type | Individual
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Provider Name | BRIAN KEVIN FLANAGAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 12222 NORTH CENTRAL EXPRESSWAY SUITE 340
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City | DALLAS
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State | TX
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Zip | 75243-3755
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Country | US
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Telephone | 972-972-4851
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Fax | 972-556-5202
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Provider Business Mailing Address
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Address Line | PO BOX 650444 DEPT 111
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City | DALLAS
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State | TX
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Zip | 75265-0444
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Country | US
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Telephone | 972-972-4851
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Fax | 972-556-5202
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | K1194
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License Number State | TX
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