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General NPI Number Information
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NPI Number | 1285140715
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Entity Type | Organization
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Legal Business Name | SNIFFLES & GIGGLES, LLC
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Dates
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Enumeration Date | 12/20/2017
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Last Update Date | 12/20/2017
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Provider Practice Location Address
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Address Line | 201 AMANDA LN STE 200
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City | WAXAHACHIE
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State | TX
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Zip | 75165-1392
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Country | US
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Telephone | 972-937-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 1716 WHITE FALLS DR
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City | DESOTO
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State | TX
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Zip | 75115-7850
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Country | US
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Telephone | 337-739-8355
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MRS. TONYA BROOKS
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Credential | CPNP-PC
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Telephone | 337-739-8355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP128873
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License Number State | TX
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