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General NPI Number Information
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NPI Number | 1093307084
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Entity Type | Organization
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Legal Business Name | VORTEX HEALTH, PLLC
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Dates
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Enumeration Date | 02/10/2021
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 3813 22ND ST STE 5B
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City | LUBBOCK
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State | TX
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Zip | 79410-1199
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Country | US
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Telephone | 806-368-7730
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Fax | 806-368-7853
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Provider Business Mailing Address
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Address Line | 3813 22ND ST STE 5B
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City | LUBBOCK
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State | TX
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Zip | 79410-1199
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Country | US
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Telephone | 806-368-7730
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Fax | 806-368-7853
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Authorized Official
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Title or Position | MANAGER
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Name | SHANE FRANKL
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Credential | FNP-C
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Telephone | 806-787-4032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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