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General NPI Number Information
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NPI Number | 1346058922
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Entity Type | Organization
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Legal Business Name | KIND PRIMARY CARE
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 1400 N COIT RD STE 302
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City | MCKINNEY
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State | TX
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Zip | 75071-6656
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Country | US
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Telephone | 469-424-5537
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 N COIT RD STE 302
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City | MCKINNEY
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State | TX
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Zip | 75071-6656
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Country | US
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Telephone | 469-424-5537
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SIBUZANI MABUYE
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Credential | NP
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Telephone | 469-424-5537
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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 |
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License Number State | NULL
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