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General NPI Number Information
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NPI Number | 1295557239
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Entity Type | Organization
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Legal Business Name | 4 HEALTH
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 8 WELLINGTON OAKS CIR
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City | DENTON
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State | TX
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Zip | 76210-5571
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Country | US
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Telephone | 918-740-2026
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Fax |
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Provider Business Mailing Address
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Address Line | 8 WELLINGTON OAKS CIR
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City | DENTON
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State | TX
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Zip | 76210-5571
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Country | US
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Telephone | 918-740-2026
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | JAZMIN HERNANDEZ
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Credential |
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Telephone | 954-683-7890
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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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