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NPI 1104329564

NPI 1104329564 : DAWN HEALTH & WELLNESS LLC : SPRING, TX

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General NPI Number Information
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    NPI Number           |    1104329564
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    Entity Type          |    Organization 
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    Legal Business Name  |    DAWN HEALTH & WELLNESS LLC 
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Dates
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    Enumeration Date     |    03/13/2018
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    Last Update Date     |    04/15/2025
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Provider Practice Location Address
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    Address Line         |    4750 FM 2920 RD STE 502 
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    City                 |    SPRING
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    State                |    TX
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    Zip                  |    77388
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    Country              |    US
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    Telephone            |    281-541-4820
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6715 SANDIA CREST ST 
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    City                 |    SPRING
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    State                |    TX
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    Zip                  |    77379-1107
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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    |    OWNER
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    Name                 |     AMBER DAWN DEPASQUALE GREGORY 
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    Credential           |    D.C. CCSP
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    Telephone            |    281-541-4820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    12859
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    License Number State |    TX
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