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General NPI Number Information
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NPI Number | 1396250221
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Entity Type | Organization
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Legal Business Name | WATERSTONE WELLNESS, PLLC
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Dates
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Enumeration Date | 12/14/2017
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Last Update Date | 12/10/2023
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Provider Practice Location Address
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Address Line | 1014 E WHEATLAND RD STE A
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4914
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Country | US
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Telephone | 214-550-2330
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Fax | 214-550-2331
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Provider Business Mailing Address
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Address Line | 1014 E WHEATLAND RD STE A
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4914
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANAGHA AGARWAL
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Credential | MD
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Telephone | 214-519-4089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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