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General NPI Number Information
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NPI Number | 1497559900
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Entity Type | Organization
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Legal Business Name | INNOVATIVE HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 5655 W SPRING CREEK PKWY STE 100
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City | PLANO
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State | TX
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Zip | 75024-4176
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Country | US
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Telephone | 469-991-3010
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Fax |
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Provider Business Mailing Address
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Address Line | 5655 W SPRING CREEK PKWY STE 100
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City | PLANO
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State | TX
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Zip | 75024-4176
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REVENUE CYCLE/CREDENTIALING
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Name | APRIL SAWYER
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Credential |
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Telephone | 817-202-5179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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