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General NPI Number Information
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NPI Number | 1134943095
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Entity Type | Organization
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Legal Business Name | ON DEMAND PRIMARY CARE PLLC
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 337 MCCONATHY WAY
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City | FLOWER MOUND
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State | TX
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Zip | 75028-5174
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Country | US
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Telephone | 817-733-5557
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Fax |
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Provider Business Mailing Address
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Address Line | 337 MCCONATHY WAY
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City | FLOWER MOUND
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State | TX
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Zip | 75028-5174
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Country | US
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Telephone | 817-733-5557
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LYNDA HATLEY
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Credential | APRN
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Telephone | 817-733-5557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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