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General NPI Number Information
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NPI Number | 1558237099
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Entity Type | Organization
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Legal Business Name | SEED OF HOPE MEDICAL & WELLNESS PLLC
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 5229 E LANCASTER AVE STE A
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City | FORT WORTH
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State | TX
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Zip | 76112-6358
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Country | US
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Telephone | 469-724-4417
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Fax |
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Provider Business Mailing Address
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Address Line | 539 W COMMERCE ST STE 2389
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City | DALLAS
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State | TX
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Zip | 75208-1953
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Country | US
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Telephone | 469-724-4417
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LATONYA THOMPSON
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Credential |
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Telephone | 469-724-4417
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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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