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General NPI Number Information
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NPI Number | 1811059819
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Entity Type | Organization
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Legal Business Name | BENT TREE FAMILY PHYSICIANS, PA
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3550 PARKWOOD BLVD SUITE 600
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City | FRISCO
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State | TX
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Zip | 75034-1903
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Country | US
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Telephone | 972-377-8800
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Fax | 972-377-8808
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Provider Business Mailing Address
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Address Line | 17110 DALLAS PKWY SUITE 100
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City | DALLAS
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State | TX
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Zip | 75248-1167
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Country | US
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Telephone | 972-377-8800
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Fax | 972-377-8808
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Authorized Official
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Title or Position | PRESIDENT
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Name | GUY LEE CULPEPPER
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Credential | M.D.
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Telephone | 972-377-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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