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General NPI Number Information
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NPI Number | 1104590330
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Entity Type | Organization
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Legal Business Name | TOTAL POINT - DESOTO LLC
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 3405 S MAIN ST
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City | LINDALE
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State | TX
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Zip | 75771-7749
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Country | US
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Telephone | 469-607-8448
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 ELM ST STE 4210
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City | DALLAS
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State | TX
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Zip | 75201-7282
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Country | US
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Telephone | 469-607-8448
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Fax | 469-607-8778
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Authorized Official
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Title or Position | VP COMPLIANCE & HR
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Name | ROBERT BRACE
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Credential |
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Telephone | 469-607-8448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 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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Taxonomy #4
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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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