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General NPI Number Information
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NPI Number | 1952619884
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Entity Type | Organization
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Legal Business Name | KURT L PFLIEGER MD PA
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 2504 RIDGE RD SUITE 102
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City | ROCKWALL
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State | TX
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Zip | 75087-2569
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Country | US
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Telephone | 972-771-1794
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Fax | 972-771-1648
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Provider Business Mailing Address
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Address Line | 2504 RIDGE RD SUITE 102
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City | ROCKWALL
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State | TX
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Zip | 75087-2569
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Country | US
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Telephone | 972-771-1794
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Fax | 972-771-1648
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Authorized Official
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Title or Position | OWNER
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Name | KURT LORING PFLIEGER
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Credential | MD
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Telephone | 972-771-1794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | J5444
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License Number State | TX
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