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General NPI Number Information
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NPI Number | 1053246033
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Entity Type | Organization
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Legal Business Name | FORGED WELLNESS PLLC
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 11720 CHAMPION CREEK DR
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City | FRISCO
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State | TX
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Zip | 75036-0938
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Country | US
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Telephone | 469-529-0910
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Fax |
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Provider Business Mailing Address
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Address Line | 605 N PRESTON RD SUITE 200 PMB 3023
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City | GUNTER
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State | TX
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Zip | 75058-4706
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Country | US
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Telephone | 469-529-0910
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JASON SENG
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Credential | MSN, APRN, FNP-C
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Telephone | 469-529-0910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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