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General NPI Number Information
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NPI Number | 1518836758
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Entity Type | Organization
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Legal Business Name | PALMCEDAR PRIMARY & MENTAL CARE LLC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 108 E FM 2410 RD STE I
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City | HARKER HEIGHTS
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State | TX
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Zip | 76548-1800
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Country | US
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Telephone | 254-213-1676
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Fax |
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Provider Business Mailing Address
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Address Line | 108 E FM 2410 RD STE I
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City | HARKER HEIGHTS
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State | TX
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Zip | 76548-1800
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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 | NP
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Name | TOLULOPE MARION ROWLAND
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Credential |
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Telephone | 512-508-8208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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