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General NPI Number Information
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NPI Number | 1407768575
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Entity Type | Organization
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Legal Business Name | YOUR PORCH PEDIATRICS
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 411 W HUBBARD ST
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City | MINERAL WELLS
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State | TX
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Zip | 76067-4846
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Country | US
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Telephone | 940-202-9409
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Fax |
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Provider Business Mailing Address
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Address Line | 698 HIGH POINT RD
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City | WEATHERFORD
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State | TX
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Zip | 76088-8379
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Country | US
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Telephone | 940-202-9409
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Fax |
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Authorized Official
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Title or Position | OWNER, PROVIDER
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Name | TOLA LOUISE PLUSNICK
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Credential | APRN, CPNP-PC
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Telephone | 940-452-0766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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