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General NPI Number Information
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NPI Number | 1336846484
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Entity Type | Individual
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Provider Name | PAM MACHEMEHL HELMLY CN
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Gender | Female
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Dates
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Enumeration Date | 02/09/2023
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 22 LEICESTER DR
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City | BELLA VISTA
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State | AR
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Zip | 72714-4100
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Country | US
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Telephone | 512-350-1539
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Fax | 888-236-9754
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Provider Business Mailing Address
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Address Line | 201 HUNTERS CROSSING BLVD # 10-241
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City | BASTROP
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State | TX
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Zip | 78602-3972
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Country | US
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Telephone | 888-257-9068
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Fax | 888-236-9754
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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