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General NPI Number Information
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NPI Number | 1316767494
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Entity Type | Organization
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Legal Business Name | FORWARD HOLISTIC HEALTH & WELLNESS
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 1816 E HARRISON AVE STE A
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City | HARLINGEN
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State | TX
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Zip | 78550-7473
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Country | US
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Telephone | 956-202-0787
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Fax |
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Provider Business Mailing Address
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Address Line | 22100 PARK WESTHEIMER BLVD APT 122
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City | RICHMOND
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State | TX
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Zip | 77407-4212
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Country | US
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Telephone | 361-522-0031
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ROSALINDA ALVAREZ SOLIS
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Credential |
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Telephone | 956-202-0787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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