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General NPI Number Information
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NPI Number | 1962807198
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Entity Type | Organization
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Legal Business Name | KERSH HEALTH
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Dates
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Enumeration Date | 10/30/2014
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Last Update Date | 10/30/2014
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Provider Practice Location Address
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Address Line | 2600 TECHNOLOGY DR STE 100
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City | PLANO
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State | TX
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Zip | 75074-3732
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Country | US
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Telephone | 972-562-0028
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Fax | 972-562-9466
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Provider Business Mailing Address
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Address Line | 500 W UNIVERSITY DR STE 102
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City | MCKINNEY
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State | TX
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Zip | 75069-4823
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Country | US
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Telephone | 972-562-0028
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Fax | 972-562-9466
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Authorized Official
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Title or Position | CEO
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Name | DR. TERRY LAWSON JAMES
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Credential | M.D.
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Telephone | 972-562-0028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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