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General NPI Number Information
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NPI Number | 1336933498
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Entity Type | Organization
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Legal Business Name | PRICKLY PEAR ELECTROLYSIS LLC
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Dates
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Enumeration Date | 04/05/2025
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Last Update Date | 04/05/2025
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Provider Practice Location Address
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Address Line | 3601 YUCCA DR # 200
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City | FLOWER MOUND
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State | TX
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Zip | 75028-2747
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Country | US
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Telephone | 214-893-2471
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Fax |
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Provider Business Mailing Address
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Address Line | 3601 YUCCA DR # 200
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City | FLOWER MOUND
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State | TX
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Zip | 75028-2747
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Country | US
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Telephone | 214-893-2471
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Fax |
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Authorized Official
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Title or Position | COO
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Name | KELLEY HOFFMAN
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Credential | CPE
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Telephone | 972-922-9555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374700000X
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Taxonomy Name | Technician
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License Number |
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License Number State |
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