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General NPI Number Information
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NPI Number | 1073592234
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Entity Type | Organization
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Legal Business Name | JUDY KING & ASSOCIATES, INC.
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Dates
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Enumeration Date | 01/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1424 BROWN TRL SUITE D
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City | BEDFORD
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State | TX
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Zip | 76022-6499
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Country | US
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Telephone | 817-282-0113
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Fax | 817-282-0108
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Provider Business Mailing Address
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Address Line | 1424 BROWN TRL SUITE D
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City | BEDFORD
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State | TX
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Zip | 76022-6499
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Country | US
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Telephone | 817-282-0113
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Fax | 817-282-0108
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Authorized Official
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Title or Position | OWNER,PRESIDENT
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Name | MS. JUDY KING
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Credential | LMT
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Telephone | 817-282-0113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0032
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License Number State | TX
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