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General NPI Number Information
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NPI Number | 1255225504
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Entity Type | Organization
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Legal Business Name | ELLE MEDICINE, PLLC
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Dates
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Enumeration Date | 06/03/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 9201 N CENTRAL EXPSWY SUITE 370
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City | DALLAS
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State | TX
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Zip | 75231
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Country | US
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Telephone | 214-695-1753
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Fax |
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Provider Business Mailing Address
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Address Line | 13417 FORESTWAY DR
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City | DALLAS
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State | TX
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Zip | 75240-5319
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Country | US
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Telephone | 214-695-1753
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | MICHELLE L HEINTGES
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Credential | MD
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Telephone | 142-695-1753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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