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General NPI Number Information
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NPI Number | 1407330418
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Entity Type | Organization
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Legal Business Name | LIVINGWELL BUSINESS GROUP INC
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Dates
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Enumeration Date | 09/17/2018
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 912 WRIGHT ST STE A
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City | ARLINGTON
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State | TX
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Zip | 76012-4759
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Country | US
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Telephone | 682-554-7560
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Fax | 972-522-0088
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Provider Business Mailing Address
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Address Line | 912 WRIGHT ST STE A
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City | ARLINGTON
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State | TX
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Zip | 76012-4759
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Country | US
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Telephone | 682-554-7560
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Fax | 972-522-0088
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | CHINEDU CAROLYNE OKAFOR
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Credential | APRN, FNP-BC
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Telephone | 817-266-8583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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