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General NPI Number Information
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NPI Number | 1124436167
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Entity Type | Organization
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Legal Business Name | HERITAGE HEALTH CONCEPTS LLC
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Dates
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Enumeration Date | 07/22/2014
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Last Update Date | 07/22/2014
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Provider Practice Location Address
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Address Line | 6025 COMMERCE DR SUITE 500
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City | IRVING
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State | TX
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Zip | 75063-2642
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Country | US
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Telephone | 972-580-7770
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Fax | 972-364-1269
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Provider Business Mailing Address
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Address Line | 6025 COMMERCE DR SUITE 500
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City | IRVING
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State | TX
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Zip | 75063-2642
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Country | US
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Telephone | 972-580-7770
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Fax | 972-364-1269
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Authorized Official
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Title or Position | PARTNER
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Name | SARA CHUNARA
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Credential |
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Telephone | 972-580-7770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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