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General NPI Number Information
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NPI Number | 1033913983
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Entity Type | Organization
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Legal Business Name | INDEPENDENT HEALING SOLUTIONS, PLLC
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 5473 BLAIR RD STE 830238
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City | DALLAS
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State | TX
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Zip | 75231-4226
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Country | US
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Telephone | 214-306-9638
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Fax | 949-703-8821
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Provider Business Mailing Address
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Address Line | 5473 BLAIR RD STE 830238
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City | DALLAS
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State | TX
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Zip | 75231-4226
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Country | US
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Telephone | 214-306-9638
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | KEYSHAWNA GLOVER
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Credential |
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Telephone | 214-306-9638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WP0000X
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Taxonomy Name | Pain Management Registered Nurse
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License Number |
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License Number State |
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