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General NPI Number Information
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NPI Number | 1396922050
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Entity Type | Organization
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Legal Business Name | MCKINNEY COMPREHENSIVE CARE
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 4510 MEDICAL CENTER DR TBD
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City | MCKINNEY
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State | TX
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Zip | 75069-1650
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Country | US
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Telephone | 972-540-6256
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Fax | 972-540-5071
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Provider Business Mailing Address
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Address Line | 4510 MEDICAL CENTER DR TBD
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City | MCKINNEY
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State | TX
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Zip | 75069-1650
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Country | US
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Telephone | 972-540-6256
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Fax | 972-540-5071
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Authorized Official
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Title or Position | V.P./SECRETARY
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Name | ROY A SETZENFAND
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Credential | M.D.
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Telephone | 972-540-6256
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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 | L8947
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License Number State | TX
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