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General NPI Number Information
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NPI Number | 1033098975
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Entity Type | Organization
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Legal Business Name | ALLIANCE TOTAL WELLNESS, PLLC
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 3132 CAPITAL WAY
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City | FT WORTH
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State | TX
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Zip | 76177-4305
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Country | US
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Telephone | 469-598-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 ELDORADO PKWY # 150153
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City | FRISCO
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State | TX
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Zip | 75033-8695
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Country | US
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Telephone | 469-598-1200
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Fax |
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Authorized Official
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Title or Position | RCM DIRECTOR
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Name | DAN RICHERSON
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Credential |
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Telephone | 469-598-1200
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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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