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General NPI Number Information
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NPI Number | 1003739038
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Entity Type | Organization
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Legal Business Name | KUDO CARE MEDICAL RICHARDSON PLLC
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 2161 E ARAPAHO RD STE 101
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City | RICHARDSON
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State | TX
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Zip | 75081-3148
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Country | US
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Telephone | 972-639-5836
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Fax |
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Provider Business Mailing Address
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Address Line | 3425 GRANDE BULEVAR
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City | IRVING
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State | TX
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Zip | 75062-5108
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ANH TAT NGUYEN
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Credential |
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Telephone | 469-463-3115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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