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General NPI Number Information
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NPI Number | 1013359892
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICINE AND RESEARCH CENTER PA
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 1120 FIREWHEEL PL
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City | MCKINNEY
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State | TX
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Zip | 75069-5394
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Country | US
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Telephone | 469-952-8052
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 FIREWHEEL PL
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City | MCKINNEY
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State | TX
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Zip | 75069-5394
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Country | US
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Telephone | 469-951-0477
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. SALOME SUTTER
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Credential | N.P
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Telephone | 469-951-0477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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