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General NPI Number Information
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NPI Number | 1609389881
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Entity Type | Organization
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Legal Business Name | NORTEX INTEGRATED MEDICINE PLLC
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Dates
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Enumeration Date | 11/10/2017
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Last Update Date | 03/28/2018
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Provider Practice Location Address
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Address Line | 1200 COIT RD STE 109
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City | PLANO
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State | TX
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Zip | 75075-7756
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Country | US
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Telephone | 972-930-9777
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Fax | 469-786-5031
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Provider Business Mailing Address
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Address Line | 1200 COIT RD STE 109
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City | PLANO
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State | TX
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Zip | 75075-7756
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Country | US
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Telephone | 972-930-9777
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Fax | 469-786-5031
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | MS. SHELLY AMBER HOWINGTON
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Credential |
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Telephone | 580-775-5857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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