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General NPI Number Information
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NPI Number | 1932004280
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Entity Type | Organization
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Legal Business Name | PODGURECKI PLLC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 7950 LEGACY DR STE 400
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City | PLANO
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State | TX
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Zip | 75024-4131
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Country | US
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Telephone | 817-934-1699
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Fax | 817-947-0447
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Provider Business Mailing Address
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Address Line | 7950 LEGACY DR STE 400
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City | PLANO
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State | TX
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Zip | 75024-4131
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Country | US
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Telephone | 817-934-1699
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Fax | 817-947-0447
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Authorized Official
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Title or Position | OWNER
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Name | DR. CARLA PODGURECKI
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Credential | MD
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Telephone | 817-934-1699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | NULL
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