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General NPI Number Information
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NPI Number | 1992972103
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Entity Type | Organization
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Legal Business Name | PRIORITY HEALTH CENTER LLC
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 03/21/2016
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Provider Practice Location Address
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Address Line | 3535 N BUCKNER BLVD STE 100
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City | DALLAS
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State | TX
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Zip | 75228-5548
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Country | US
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Telephone | 214-660-1011
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Fax | 214-660-1016
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Provider Business Mailing Address
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Address Line | 3535 N BUCKNER BLVD STE 100
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City | DALLAS
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State | TX
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Zip | 75228-5548
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Country | US
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Telephone | 214-660-1011
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Fax | 214-660-1016
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | LOU SIGNO
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Credential |
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Telephone | 972-526-5444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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