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General NPI Number Information
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NPI Number | 1649665241
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Entity Type | Individual
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Provider Name | KEVIN BUBEL MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 350 E INTERSTATE 20
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City | ARLINGTON
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State | TX
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Zip | 76018-1119
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Country | US
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Telephone | 817-784-0222
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Fax | 817-467-5819
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Provider Business Mailing Address
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Address Line | 350 E INTERSTATE 20
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City | ARLINGTON
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State | TX
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Zip | 76018-1119
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Country | US
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Telephone |
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Fax | 817-467-5819
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 01082191A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | T7876
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License Number State | TX
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