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General NPI Number Information
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NPI Number | 1295759025
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Entity Type | Individual
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Provider Name | SCOTTIE LYNN KING MD
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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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 | 975-675-5300
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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 | 975-675-5300
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Fax | 972-675-5301
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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