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General NPI Number Information
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NPI Number | 1407660186
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Entity Type | Organization
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Legal Business Name | ABUNDANCE REGENERATIVE HEALTH CLINIC
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 15 SMITH RD STE B121
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City | MIDLAND
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State | TX
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Zip | 79705-5423
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Country | US
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Telephone | 432-219-8092
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Fax | 432-219-8094
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Provider Business Mailing Address
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Address Line | 1423 W PINE AVE
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City | MIDLAND
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State | TX
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Zip | 79705-6524
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Country | US
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Telephone | 432-934-7611
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | BARBARA NORRIS
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Credential | ANP-C
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Telephone | 432-934-7611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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