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General NPI Number Information
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NPI Number | 1801946231
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Entity Type | Individual
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Provider Name | MATTHEW KYLE KING OPA-C
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 4565 BLARNEY STONE CT
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City | FRISCO
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State | TX
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Zip | 75034-2118
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Country | US
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Telephone | 972-668-3095
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Fax | 214-472-8140
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Provider Business Mailing Address
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Address Line | 4565 BLARNEY STONE CT
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City | FRISCO
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State | TX
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Zip | 75034-2118
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Country | US
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Telephone | 972-668-3095
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Fax | 214-472-8140
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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 | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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