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General NPI Number Information
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NPI Number | 1104164508
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Entity Type | Organization
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Legal Business Name | KING FAMILY MEDICAL PLLC
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Dates
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Enumeration Date | 01/21/2013
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 5750 BUNKER HILL RD
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City | GARLAND
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State | TX
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Zip | 75048
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Country | US
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Telephone | 972-675-5300
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Fax | 972-675-5301
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Provider Business Mailing Address
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Address Line | 5750 BUNKER HILL RD
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City | GARLAND
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State | TX
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Zip | 75048
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Country | US
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Telephone | 972-675-5300
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Fax | 972-675-5301
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. SCOTT L KING
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Credential | M.D.
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Telephone | 972-675-5300
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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 | K8927
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License Number State | TX
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