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General NPI Number Information
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NPI Number | 1982846317
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Entity Type | Individual
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Provider Name | BRENT KEVIN PRESLEY M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2009
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Last Update Date | 07/31/2015
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Provider Practice Location Address
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Address Line | 1935 MEDICAL DISTRICT DR
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City | DALLAS
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State | TX
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Zip | 75235-7701
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Country | US
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Telephone | 214-456-2329
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Fax |
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Provider Business Mailing Address
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Address Line | 636 ATHERTON ST
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City | SAN MARCOS
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State | CA
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Zip | 92078-2802
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Country | US
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Telephone | 214-754-0997
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Fax |
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | A136311
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License Number State | CA
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