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General NPI Number Information
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NPI Number | 1922815315
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Entity Type | Organization
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Legal Business Name | MHK FAMILY PRACTICE PLLC
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 2806 N NAVARRO ST STE B
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City | VICTORIA
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State | TX
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Zip | 77901-3937
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Country | US
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Telephone | 361-935-8118
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 N MAIN ST
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City | VICTORIA
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State | TX
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Zip | 77901-3235
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MR. MICHAEL ALLEN PFEIL JR.
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Credential | FNP-C
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Telephone | 361-935-8118
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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 |
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License Number State |
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