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General NPI Number Information
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NPI Number | 1568825735
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Entity Type | Individual
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Provider Name | KC BIEBIGHAUSER BENS MD
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Gender | Female
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 08/31/2021
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Provider Practice Location Address
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Address Line | 221 W. COLORADO BLVD METHODIST PAVILION II, SUITE 441
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City | DALLAS
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State | TX
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Zip | 75208
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Country | US
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Telephone | 214-876-1242
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Fax |
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Provider Business Mailing Address
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Address Line | 8230 WALNUT HILL LN STE 700
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City | DALLAS
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State | TX
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Zip | 75231-4436
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | T2559
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License Number State | TX
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