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NPI 1316112196

NPI 1316112196 : DOROTHY KILLAH BUDZI FNP, DPH, MSN, MBA : GARLAND, TX

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General NPI Number Information
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    NPI Number           |    1316112196
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    Entity Type          |    Individual 
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    Provider Name        |    DOROTHY KILLAH BUDZI FNP, DPH, MSN, MBA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/23/2008
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    Last Update Date     |    07/12/2021
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Provider Practice Location Address
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    Address Line         |    1618 SKYLINE DR 
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    City                 |    GARLAND
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    State                |    TX
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    Zip                  |    75043-1771
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    Country              |    US
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    Telephone            |    214-886-9106
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    Fax                  |    214-703-3971
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Provider Business Mailing Address
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    Address Line         |    1618 SKYLINE DR 
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    City                 |    GARLAND
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    State                |    TX
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    Zip                  |    75043-1771
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    Country              |    US
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    Telephone            |    214-886-9106
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    Fax                  |    214-703-3971
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    1007344
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    License Number State |    TX
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