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General NPI Number Information
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NPI Number | 1013704337
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Entity Type | Organization
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Legal Business Name | RESTORE PSYCHIATRY & WELLNESS, PLLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 21830 COUNTRY MDWS
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City | BULLARD
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State | TX
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Zip | 75757-1246
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Country | US
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Telephone | 903-300-1829
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Fax | 903-213-9115
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Provider Business Mailing Address
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Address Line | 5473 BLAIR RD STE 100
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City | DALLAS
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State | TX
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Zip | 75231-4227
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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 | OWNER/CEO
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Name | RANIE MEYER
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Credential | NP
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Telephone | 903-904-8616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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