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General NPI Number Information
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NPI Number | 1982698569
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Entity Type | Organization
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Legal Business Name | DALLAS COUNTY HOSPITAL DISTRICT
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 5151 MAPLE AVE # 1-1676
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City | DALLAS
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State | TX
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Zip | 75235-8136
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Country | US
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Telephone | 142-590-6323
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Fax | 142-590-6160
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Provider Business Mailing Address
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Address Line | 5200 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75235-7709
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Country | US
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Telephone | 469-419-1976
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Fax | 469-419-6210
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Authorized Official
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Title or Position | EXEC VP & CHIEF OPERATING OFFICER
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Name | EDMUNDO CASTANEDA
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Credential |
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Telephone | 214-590-8006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 4633300002
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License Number State | TX
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