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General NPI Number Information
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NPI Number | 1548883036
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Entity Type | Organization
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Legal Business Name | TIMELY MEDICAL CARE PLLC
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Dates
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Enumeration Date | 05/19/2020
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Last Update Date | 05/19/2020
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Provider Practice Location Address
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Address Line | 11869 TOPPELL TRL
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City | HASLET
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State | TX
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Zip | 76052-1509
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Country | US
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Telephone | 972-210-0690
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Fax | 757-767-7905
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Provider Business Mailing Address
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Address Line | 11869 TOPPELL TRL
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City | HASLET
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State | TX
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Zip | 76052-1509
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Country | US
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Telephone | 972-210-0690
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Fax | 757-767-7905
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MR. GODFREY OGBONNA ANEKE
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Credential | NP
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Telephone | 972-210-0690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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