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General NPI Number Information
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NPI Number | 1043180300
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Entity Type | Organization
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Legal Business Name | MY CARE BUDDY LLC
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 123 W MAIN ST
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City | DALLAS
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State | TX
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Zip | 75208-1929
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Country | US
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Telephone | 214-799-1444
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Fax |
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Provider Business Mailing Address
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Address Line | 13675 NOEL RD APT 445
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City | DALLAS
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State | TX
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Zip | 75240-4805
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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 | REP
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Name | TKEYAH CELESTE RANDALL
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Credential |
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Telephone | 214-799-1444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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