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General NPI Number Information
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NPI Number | 1184196651
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Entity Type | Organization
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Legal Business Name | HEALING FROM WITHIN PLLC
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Dates
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Enumeration Date | 12/21/2018
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Last Update Date | 02/12/2019
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Provider Practice Location Address
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Address Line | 3604 FAIRMONT PKWY STE A2
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City | PASADENA
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State | TX
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Zip | 77504-3065
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Country | US
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Telephone | 346-219-6263
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Fax | 713-513-5590
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Provider Business Mailing Address
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Address Line | 3604 FAIRMONT PKWY STE A2
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City | PASADENA
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State | TX
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Zip | 77504-3065
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Country | US
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Telephone | 346-219-6263
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Fax | 713-513-5590
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | MS. MELODY MCCLAIN FNP
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Credential | FNP
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Telephone | 713-870-5393
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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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