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General NPI Number Information
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NPI Number | 1063225803
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Entity Type | Organization
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Legal Business Name | LIFETOUCH HEALTHCARE PLLC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 4202 MIMOSA DRIVE
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City | MELISSA
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State | TX
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Zip | 75454
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Country | US
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Telephone | 214-714-4825
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Fax |
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Provider Business Mailing Address
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Address Line | 4202 MIMOSA DR # A
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City | MELISSA
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State | TX
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Zip | 75454-0229
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Country | US
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Telephone | 214-714-4825
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Fax | 972-430-3938
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Authorized Official
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Title or Position | OWNER
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Name | MARGARET MANOTI
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Credential |
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Telephone | 214-714-4825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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