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General NPI Number Information
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NPI Number | 1598978553
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Entity Type | Organization
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Legal Business Name | JUDITH A. KIRBY, M.D., P.A.
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 10740 N CENTRAL EXPY STE 250
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City | DALLAS
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State | TX
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Zip | 75231-2142
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Country | US
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Telephone | 214-253-0202
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Fax | 214-253-0203
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Provider Business Mailing Address
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Address Line | 10740 N CENTRAL EXPY STE 250
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City | DALLAS
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State | TX
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Zip | 75231-2142
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Country | US
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Telephone | 214-253-0202
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Fax | 214-253-0203
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Authorized Official
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Title or Position | PRACTICE MGR
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Name | TRUE D YANDELL
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Credential |
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Telephone | 214-253-0205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | J8274
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License Number State | TX
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