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General NPI Number Information
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NPI Number | 1417431727
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Entity Type | Organization
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Legal Business Name | SK PRIMARY CARE, LLC
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Dates
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Enumeration Date | 09/21/2018
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Last Update Date | 11/07/2018
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Provider Practice Location Address
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Address Line | 6155 SPORTS VILLAGE RD STE 100
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City | FRISCO
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State | TX
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Zip | 75033-3578
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Country | US
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Telephone | 214-605-3875
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Fax |
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Provider Business Mailing Address
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Address Line | 4040 LEGACY DR STE 204
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City | FRISCO
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State | TX
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Zip | 75034-6748
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Country | US
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Telephone | 214-605-3875
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | AFSHA MUNEER
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Credential |
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Telephone | 214-605-3875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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