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General NPI Number Information
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NPI Number | 1528971330
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Entity Type | Organization
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Legal Business Name | A SUSTAINABLE LIFE LLP
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 4722 TAFT BLVD STE 1
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City | WICHITA FALLS
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State | TX
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Zip | 76308-4872
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Country | US
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Telephone | 940-217-6720
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Fax | 940-217-6725
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Provider Business Mailing Address
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Address Line | 4722 TAFT BLVD STE 8
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City | WICHITA FALLS
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State | TX
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Zip | 76308-4800
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Country | US
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Telephone | 940-217-6720
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Fax | 940-217-6725
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. MERRILL WOOD
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Credential | DNP, CPNP-PC, PMHS
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Telephone | 940-217-6720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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