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General NPI Number Information
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NPI Number | 1962545541
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Entity Type | Organization
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Legal Business Name | TEXARKANA FAMILY PRACTICE, P.A.
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 1408 COLLEGE DR
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City | TEXARKANA
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State | TX
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Zip | 75503-3534
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Country | US
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Telephone | 903-794-0515
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Fax | 903-793-8000
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Provider Business Mailing Address
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Address Line | 1408 COLLEGE DR
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City | TEXARKANA
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State | TX
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Zip | 75503-3534
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Country | US
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Telephone | 903-794-0515
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Fax | 903-793-8000
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL D SARNA
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Credential | M.D.
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Telephone | 903-794-0515
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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 | K1046
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License Number State | TX
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