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General NPI Number Information
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NPI Number | 1508714403
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Entity Type | Organization
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Legal Business Name | HAPPY HEALTH FUNCTIONAL MEDICINE PLLC
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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 | 318 RICHLAND WEST CIR
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City | WACO
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State | TX
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Zip | 76712-7911
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Country | US
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Telephone | 254-776-8009
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20216
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City | WACO
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State | TX
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Zip | 76702-0216
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Country | US
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Telephone | 254-776-8009
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA KIRK
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Credential | DO
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Telephone | 254-776-8009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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