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General NPI Number Information
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NPI Number | 1487169538
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Entity Type | Organization
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Legal Business Name | ML HEALTH SOLUTIONS, PLLC
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Dates
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Enumeration Date | 12/12/2017
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Last Update Date | 12/12/2017
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Provider Practice Location Address
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Address Line | 107 STACY DRIVE
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City | WHITEHOUSE
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State | TX
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Zip | 75791
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Country | US
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Telephone | 903-372-4112
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Fax |
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Provider Business Mailing Address
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Address Line | 15180 COUNTY ROAD 1113
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City | TYLER
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State | TX
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Zip | 75703-9537
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Country | US
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Telephone | 903-372-4112
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. RENDALL LEE NORHTCUTT
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Credential | FNP-C
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Telephone | 903-372-4112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP126102
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License Number State | TX
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