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General NPI Number Information
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NPI Number | 1255122008
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Entity Type | Organization
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Legal Business Name | LIVING FAITH HEALTHCARE, PLLC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 2132 ZION HL
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-8847
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Country | US
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Telephone | 682-422-9120
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Fax |
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Provider Business Mailing Address
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Address Line | 539 W COMMERCE ST STE 1305
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City | DALLAS
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State | TX
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Zip | 75208-1953
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Country | US
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Telephone | 682-422-9120
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/NP
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Name | DR. JAZMINE COLLINS
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Credential | NP
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Telephone | 682-422-9120
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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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