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General NPI Number Information
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NPI Number | 1992897763
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Entity Type | Organization
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Legal Business Name | DOMINIC L RACO MD PA
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4510 MEDICAL CENTER DR SUITE 313
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City | MCKINNEY
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State | TX
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Zip | 75069-1650
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Country | US
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Telephone | 972-540-7788
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Fax | 972-540-7787
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Provider Business Mailing Address
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Address Line | 4510 MEDICAL CENTER DR SUITE 313
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City | MCKINNEY
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State | TX
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Zip | 75069-1650
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Country | US
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Telephone | 972-540-7788
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Fax | 972-540-7787
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Authorized Official
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Title or Position | OWNER-PHYSICIAN
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Name | DOMINIC RACO
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Credential |
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Telephone | 972-540-7788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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