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General NPI Number Information
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NPI Number | 1366108151
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Entity Type | Organization
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Legal Business Name | DALLAS HEALTH AND WELLNESS CLINIC PLLC
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 9304 FOREST LN STE N177
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City | DALLAS
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State | TX
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Zip | 75243-6238
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Country | US
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Telephone | 214-713-8228
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Fax |
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Provider Business Mailing Address
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Address Line | 9304 FOREST LN STE N177
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City | DALLAS
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State | TX
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Zip | 75243-6238
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Country | US
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Telephone | 469-251-8772
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Fax | 937-975-0014
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Authorized Official
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Title or Position | OWNER
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Name | DR. EVELYN OKUNOGHAE
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Credential | APRN, FNP-C, DNP
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Telephone | 469-251-8772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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