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General NPI Number Information
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NPI Number | 1245664101
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Entity Type | Organization
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Legal Business Name | HER KARE PHYSICIANS GROUP PLLC
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Dates
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Enumeration Date | 08/28/2013
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 312 W NORTHWEST HWY
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City | GRAPEVINE
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State | TX
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Zip | 76051-3234
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Country | US
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Telephone | 817-544-5698
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Fax | 817-576-5699
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Provider Business Mailing Address
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Address Line | 312 W NORTHWEST HWY
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City | GRAPEVINE
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State | TX
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Zip | 76051-3234
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Country | US
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Telephone | 817-544-5698
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Fax | 817-576-5699
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | RAYMOND (RICK) WESTBROOK JR.
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Credential | D.O.
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Telephone | 817-675-6067
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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 |
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License Number State |
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