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General NPI Number Information
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NPI Number | 1083730279
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Entity Type | Organization
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Legal Business Name | HEALTH FOR ALL, INC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3030 E 29TH ST STE 111
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City | BRYAN
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State | TX
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Zip | 77802-2740
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Country | US
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Telephone | 979-774-4176
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Fax | 979-774-4180
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Provider Business Mailing Address
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Address Line | PO BOX 5913
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City | BRYAN
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State | TX
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Zip | 77805-5913
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Country | US
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Telephone | 979-774-4176
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Fax | 979-774-4180
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ELIZABETH NICOLE DICKEY
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Credential |
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Telephone | 979-774-4176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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