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General NPI Number Information
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NPI Number | 1316814049
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Entity Type | Organization
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Legal Business Name | KILLEEN FAMILY MEDICINE CLINIC, PLLC
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Dates
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Enumeration Date | 10/18/2025
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 1601 E RANCIER AVE
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City | KILLEEN
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State | TX
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Zip | 76541-3735
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Country | US
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Telephone | 254-312-9565
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Fax | 254-312-9656
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Provider Business Mailing Address
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Address Line | 1601 E RANCIER AVE
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City | KILLEEN
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State | TX
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Zip | 76541-3735
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Country | US
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Telephone | 254-312-9565
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Fax | 254-312-9656
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Authorized Official
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Title or Position | PROVIDER
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Name | LINCOLN COFFIE
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Credential | MD
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Telephone | 254-312-9565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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