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General NPI Number Information
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NPI Number | 1043515091
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Entity Type | Organization
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Legal Business Name | FAMILY FOCUS WELLNESS CENTER
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Dates
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Enumeration Date | 01/24/2011
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Last Update Date | 01/24/2011
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Provider Practice Location Address
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Address Line | 101B WOODBINE PL
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City | LONGVIEW
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State | TX
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Zip | 75601-2912
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Country | US
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Telephone | 903-236-6222
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Fax | 903-236-0808
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Provider Business Mailing Address
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Address Line | 101-B WOODBINE PL
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City | LONGVIEW
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State | TX
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Zip | 75601-2912
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Country | US
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Telephone | 903-236-6222
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Fax | 903-236-0808
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Authorized Official
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Title or Position | C.E.O.
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Name | DR. DAVID WAYNE ADAMS
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Credential | D.C.
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Telephone | 903-236-6222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 7964
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License Number State | TX
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