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General NPI Number Information
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NPI Number | 1336651710
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Entity Type | Organization
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Legal Business Name | GLOBAL FAMILY PRACTICE, PLLC
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Dates
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Enumeration Date | 10/25/2017
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 202 SW 25TH AVE STE 800
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City | MINERAL WELLS
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State | TX
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Zip | 76067-8460
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Country | US
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Telephone | 940-217-5969
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 444
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City | JACKSBORO
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State | TX
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Zip | 76458-0444
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Country | US
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Telephone | 940-217-5969
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Fax |
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Authorized Official
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Title or Position | FAMILY PHYSICIAN, MEMBER
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Name | SHIVUM AGARWAL
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Credential | MD
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Telephone | 940-247-2579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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