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NPI 1073215703

NPI 1073215703 : ORCHID WELLNESS, PLLC : CARROLLTON, TX

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General NPI Number Information
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    NPI Number           |    1073215703
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    Entity Type          |    Organization 
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    Legal Business Name  |    ORCHID WELLNESS, PLLC 
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Dates
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    Enumeration Date     |    03/20/2023
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    Last Update Date     |    08/05/2025
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Provider Practice Location Address
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    Address Line         |    3620 N JOSEY LN STE 117 
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    City                 |    CARROLLTON
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    State                |    TX
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    Zip                  |    75007-3157
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    Country              |    US
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    Telephone            |    469-892-0194
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    Fax                  |    469-942-7172
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Provider Business Mailing Address
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    Address Line         |    3620 N JOSEY LN STE 117 
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    City                 |    CARROLLTON
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    State                |    TX
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    Zip                  |    75007-3157
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    Country              |    US
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    Telephone            |    469-892-0194
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    Fax                  |    469-942-7172
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. CHELSEA AMOAFI DEBRAH 
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    Credential           |    FNP-C
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    Telephone            |    469-892-0194
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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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