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General NPI Number Information
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NPI Number | 1699284737
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Entity Type | Organization
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Legal Business Name | CUSTER MEDICAL CLINIC PLLC
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Dates
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Enumeration Date | 09/20/2017
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Last Update Date | 02/12/2020
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Provider Practice Location Address
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Address Line | 8994 TOUR DR STE 210
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City | MCKINNEY
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State | TX
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Zip | 75070-2036
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Country | US
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Telephone | 972-810-7070
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Fax |
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Provider Business Mailing Address
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Address Line | 8994 TOUR DR STE 210
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City | MCKINNEY
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State | TX
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Zip | 75070-2036
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Country | US
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Telephone | 972-810-7070
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Fax | 972-810-3221
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Authorized Official
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Title or Position | PARTNER
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Name | BINI THOMAS
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Credential | NP
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Telephone | 972-832-8784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP127736
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License Number State | TX
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