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General NPI Number Information
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NPI Number | 1083198691
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Entity Type | Organization
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Legal Business Name | COMPLETE FAMILY WELLNESS PLLC
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Dates
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Enumeration Date | 09/19/2018
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Last Update Date | 06/16/2021
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Provider Practice Location Address
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Address Line | 4125 FAIRWAY DR STE 190
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City | CARROLLTON
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State | TX
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Zip | 75010-6506
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Country | US
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Telephone | 469-431-0486
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Fax |
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Provider Business Mailing Address
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Address Line | 4125 FAIRWAY DR STE 190
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City | CARROLLTON
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State | TX
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Zip | 75010-6506
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Country | US
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Telephone | 469-431-0486
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. SALIMA JAFFER
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Credential |
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Telephone | 469-431-0486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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