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General NPI Number Information
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NPI Number | 1497111843
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Entity Type | Organization
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Legal Business Name | RESTORE & RELIEVE, PLLC
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Dates
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Enumeration Date | 01/14/2016
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 7200 W 9TH AVE
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City | AMARILLO
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State | TX
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Zip | 79106-1703
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Country | US
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Telephone | 469-859-2577
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Fax |
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Provider Business Mailing Address
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Address Line | 6031 EAST MAIN STREET #318
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City | COLUMBUS
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State | OH
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Zip | 43213-3590
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Country | US
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Telephone | 469-859-2577
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DOROTHY SHELTON NESMITH
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Credential | M.D.
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Telephone | 469-859-2577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | L4597
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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