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General NPI Number Information
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NPI Number | 1053184606
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Entity Type | Organization
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Legal Business Name | DD'S WELLNESS AND MEDICAL CENTER LLC
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 3310 HIGHWAY 6 S STE E
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City | HOUSTON
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State | TX
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Zip | 77082-3149
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Country | US
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Telephone | 678-517-5848
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Fax |
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Provider Business Mailing Address
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Address Line | 3310 HIGHWAY 6 S STE E
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City | HOUSTON
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State | TX
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Zip | 77082-3149
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Country | US
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Telephone | 678-517-5848
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Fax | 281-670-5187
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Authorized Official
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Title or Position | NP
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Name | IHEOMA C CHUKWUMA
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Credential |
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Telephone | 678-517-5848
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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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