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General NPI Number Information
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NPI Number | 1134075526
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Entity Type | Organization
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Legal Business Name | THE PURSUIT OF WELLNESS
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 6752 SAN ROQUE
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City | IRVING
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State | TX
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Zip | 75039-3234
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Country | US
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Telephone | 312-788-7208
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Fax | 205-727-1990
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Provider Business Mailing Address
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Address Line | 6752 SAN ROQUE
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City | IRVING
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State | TX
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Zip | 75039-3234
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Country | US
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Telephone | 312-788-7208
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Fax | 205-727-1990
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ILIA J SMITH
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Credential | APRN
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Telephone | 312-788-7208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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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 | 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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Taxonomy #3
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Taxonomy Code | 363LC1500X
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Taxonomy Name | Community 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 | 207VC0300X
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Taxonomy Name | Complex Family Planning Physician
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License Number |
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License Number State |
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