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General NPI Number Information
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NPI Number | 1205523859
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Entity Type | Organization
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Legal Business Name | HEALTH AND WELLNESS OF TEXAS
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Dates
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Enumeration Date | 04/21/2023
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 17480 DALLAS PKWY STE 212
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City | DALLAS
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State | TX
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Zip | 75287-7362
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Country | US
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Telephone | 469-617-8229
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Fax | 915-201-1658
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Provider Business Mailing Address
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Address Line | 17480 DALLAS PKWY STE 212
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City | DALLAS
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State | TX
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Zip | 75287-7362
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Country | US
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Telephone | 469-617-8229
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Fax | 915-201-1658
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Authorized Official
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Title or Position | OWNER/PRIMARY CARE
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Name | DR. JENNY LYNN MARCHUK
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Credential | NMD, LAC
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Telephone | 682-704-7842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (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 | 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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