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General NPI Number Information
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NPI Number | 1528778628
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Entity Type | Organization
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Legal Business Name | I & E FAMILY AND PSYCHIATRY PRACTICE, PLLC
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Dates
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Enumeration Date | 11/29/2022
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 808 SW GREEN OAKS BLVD
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City | ARLINGTON
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State | TX
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Zip | 76017-6272
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Country | US
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Telephone | 256-479-4472
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Fax | 817-225-2396
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Provider Business Mailing Address
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Address Line | 626 HAMMOND DR
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City | MANSFIELD
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State | TX
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Zip | 76063-5848
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Country | US
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Telephone | 256-479-4472
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Fax | 817-225-2396
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Authorized Official
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Title or Position | OWNER
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Name | EMMANUEL MBI
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Credential |
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Telephone | 256-417-3070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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