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General NPI Number Information
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NPI Number | 1043862378
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Entity Type | Organization
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Legal Business Name | BODYWORK RX INC
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Dates
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Enumeration Date | 07/16/2019
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 10830 N CENTRAL EXPY STE 400
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City | DALLAS
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State | TX
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Zip | 75231-1099
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Country | US
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Telephone | 469-682-6320
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Fax |
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Provider Business Mailing Address
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Address Line | 10830 N CENTRAL EXPY STE 400
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City | DALLAS
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State | TX
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Zip | 75231-1099
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Country | US
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Telephone | 469-682-6320
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HEATHER L EVANS
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Credential | DC
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Telephone | 469-682-6320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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