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General NPI Number Information
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NPI Number | 1013293083
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Entity Type | Organization
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Legal Business Name | CURT FAMILY MEDICINE
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Dates
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Enumeration Date | 10/22/2011
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Last Update Date | 10/22/2011
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Provider Practice Location Address
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Address Line | 1201 SHAMROCK DR
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City | FLOWER MOUND
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State | TX
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Zip | 75028-4315
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Country | US
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Telephone | 469-471-5964
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 270371
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City | FLOWER MOUND
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State | TX
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Zip | 75027-0371
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Country | US
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Telephone | 469-471-5964
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Fax |
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Authorized Official
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Title or Position | FNP-C
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Name | REBECCA V WURMSTEIN
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Credential | FNP
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Telephone | 469-471-5964
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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 | KV648
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 642845
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License Number State | TX
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