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General NPI Number Information
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NPI Number | 1447744321
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Entity Type | Organization
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Legal Business Name | WELLNESS PROXY RESOURCES, LLC
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Dates
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Enumeration Date | 06/14/2018
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 5840 COLLIN MCKINNEY PKWY STE 404
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City | MCKINNEY
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State | TX
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Zip | 75070-5105
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Country | US
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Telephone | 469-907-1099
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Fax | 469-907-1055
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Provider Business Mailing Address
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Address Line | 5840 COLLIN MCKINNEY PKWY STE 404
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City | MCKINNEY
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State | TX
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Zip | 75070-5105
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Country | US
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Telephone | 469-907-1099
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Fax | 469-907-1055
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Authorized Official
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Title or Position | AO
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Name | MICHELLO NAKUWEZA BROWN
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Credential | LVN
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Telephone | 469-907-1099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 867312
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License Number State | TX
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