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General NPI Number Information
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NPI Number | 1497603195
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Entity Type | Organization
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Legal Business Name | PRAISE WELLNESS AND TELEHEALTH CLINIC LLC
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 6913 N 40TH ST
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City | MCALLEN
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State | TX
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Zip | 78504-5400
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Country | US
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Telephone | 323-412-9966
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Fax | 323-412-9966
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Provider Business Mailing Address
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Address Line | 6913 N 40TH ST
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City | MCALLEN
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State | TX
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Zip | 78504-5400
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Country | US
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Telephone | 323-412-9966
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Fax | 323-412-9966
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Authorized Official
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Title or Position | CEO
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Name | LISA BLUM
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Credential |
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Telephone | 323-412-9966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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