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NPI 1093686289

NPI 1093686289 : INFINITY COMMUNITY SOLUTIONS INC : FORT WORTH, TX

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General NPI Number Information
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    NPI Number           |    1093686289
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    Entity Type          |    Organization 
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    Legal Business Name  |    INFINITY COMMUNITY SOLUTIONS INC 
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Dates
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    Enumeration Date     |    09/12/2025
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    Last Update Date     |    09/12/2025
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Provider Practice Location Address
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    Address Line         |    777 MAIN ST STE 600 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76102-5368
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    Country              |    US
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    Telephone            |    404-268-2604
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    777 MAIN ST STE 600 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76102-5368
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     ROSLYN DENISE ALLISON 
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    Credential           |    MSW
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    Telephone            |    404-268-2604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163WM0102X
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    Taxonomy Name        |    Maternal Newborn Registered Nurse
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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        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    172V00000X
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    Taxonomy Name        |    Community Health Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    2083P0901X
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    Taxonomy Name        |    Public Health & General Preventive Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    101YP1600X
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    Taxonomy Name        |    Pastoral Counselor
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    License Number       |    
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    License Number State |    
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