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General NPI Number Information
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NPI Number | 1528390077
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Entity Type | Organization
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Legal Business Name | FARE' HEALTH CENTERS, LLC
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Dates
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Enumeration Date | 02/09/2010
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Last Update Date | 10/04/2011
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Provider Practice Location Address
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Address Line | 3601 34TH ST
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City | LUBBOCK
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State | TX
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Zip | 79410-2833
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Country | US
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Telephone | 806-793-5770
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Fax | 806-793-5771
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Provider Business Mailing Address
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Address Line | PO BOX 64184
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City | LUBBOCK
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State | TX
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Zip | 79464-4184
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Country | US
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Telephone | 806-793-5770
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Fax | 806-793-5771
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ANNA R RICHARDSON
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Credential |
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Telephone | 806-793-5770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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