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General NPI Number Information
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NPI Number | 1104470715
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Entity Type | Organization
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Legal Business Name | LNE HEALTHCARE SERVICES OF NORTH TEXAS LLC
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Dates
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Enumeration Date | 07/31/2019
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 402 W WHEATLAND RD STE 150
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4627
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Country | US
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Telephone | 972-460-0050
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Fax | 972-449-0500
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Provider Business Mailing Address
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Address Line | 2804 S LAKEVIEW DR
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City | CEDAR HILL
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State | TX
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Zip | 75104-8233
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Country | US
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Telephone | 214-837-2651
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Fax | 469-779-9280
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. NWAMAKA LARVINE EMERUEM
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Credential | DNP
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Telephone | 214-837-2651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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