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General NPI Number Information
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NPI Number | 1528406352
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Entity Type | Organization
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Legal Business Name | NUCH OF TEXAS
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Dates
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Enumeration Date | 06/14/2013
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 6700 VIRGINIA PKWY SUITE 300
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City | MCKINNEY
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State | TX
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Zip | 75071-5514
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Country | US
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Telephone | 214-592-0013
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Fax | 214-592-0029
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Provider Business Mailing Address
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Address Line | 6700 VIRGINIA PKWY SUITE 300
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City | MCKINNEY
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State | TX
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Zip | 75071-5514
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Country | US
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Telephone | 214-592-0013
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Fax | 214-592-0029
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Authorized Official
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Title or Position | SVP OF OUTPATIENT SERVICES, TENET
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Name | MR. MICHAEL KYLE BURTNETT
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Credential |
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Telephone | 469-893-2153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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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 |
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Taxonomy #8
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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