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General NPI Number Information
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NPI Number | 1245833243
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Entity Type | Organization
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Legal Business Name | COMPLETE HEALTH AT GREEN OAKS PLLC
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Dates
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Enumeration Date | 11/20/2020
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 4204 SW GREEN OAKS BLVD
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City | ARLINGTON
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State | TX
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Zip | 76017-4158
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Country | US
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Telephone | 682-587-4342
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Fax |
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Provider Business Mailing Address
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Address Line | 4204 SW GREEN OAKS BLVD
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City | ARLINGTON
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State | TX
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Zip | 76017-4158
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Country | US
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Telephone | 682-587-4342
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING ADMINISTRATOR
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Name | ALISON TEMPLE
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Credential |
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Telephone | 817-655-2164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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