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General NPI Number Information
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NPI Number | 1194262840
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Entity Type | Organization
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Legal Business Name | BEAUTIFUL FROM THE INSIDE OUT
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Dates
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Enumeration Date | 01/19/2017
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Last Update Date | 11/27/2020
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Provider Practice Location Address
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Address Line | 5148 VILLAGE CREEK DR # 300
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City | PLANO
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State | TX
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Zip | 75093-5064
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Country | US
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Telephone | 214-699-1647
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Fax |
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Provider Business Mailing Address
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Address Line | 529 E TRIPP RD
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City | SUNNYVALE
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State | TX
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Zip | 75182-3207
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Country | US
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Telephone | 214-699-1647
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Fax |
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Authorized Official
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Title or Position | NP/OWNER
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Name | MICHELLE A NEWTON
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Credential |
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Telephone | 214-699-1647
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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 | 679483
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License Number State | TX
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