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General NPI Number Information
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NPI Number | 1255240867
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Entity Type | Organization
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Legal Business Name | A-OMEGA-3 MEDICAL PLLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 313 WESTPARK WAY
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City | EULESS
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State | TX
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Zip | 76040-3902
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Country | US
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Telephone | 682-597-8698
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Fax |
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Provider Business Mailing Address
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Address Line | 313 WESTPARK WAY
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City | EULESS
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State | TX
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Zip | 76040-3902
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Country | US
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Telephone | 682-597-8698
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Fax |
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Authorized Official
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Title or Position | FNP-BC-C
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Name | REBECCA MABEL HAGGEN
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Credential | NP
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Telephone | 682-597-8698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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