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NPI 1285425306

NPI 1285425306 : HEALTHIER HER LLC : DESOTO, TX

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General NPI Number Information
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    NPI Number           |    1285425306
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTHIER HER LLC 
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Dates
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    Enumeration Date     |    05/16/2025
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    Last Update Date     |    12/16/2025
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Provider Practice Location Address
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    Address Line         |    1708 CARRIAGE CREEK DR 
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    City                 |    DESOTO
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    State                |    TX
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    Zip                  |    75115-3676
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    Country              |    US
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    Telephone            |    693-963-3264
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1708 CARRIAGE CREEK DR 
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    City                 |    DESOTO
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    State                |    TX
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    Zip                  |    75115-3676
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    Country              |    US
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    Telephone            |    469-396-3326
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/NP
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    Name                 |     KENTORIA  ROBERSON-WHITE 
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    Credential           |    
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    Telephone            |    469-396-3326
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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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