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General NPI Number Information
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NPI Number | 1639971294
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Entity Type | Organization
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Legal Business Name | LEGACY INFUSIONS AND INJECTIONS LLC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 8350 N CENTRAL EXPY STE 1900
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City | DALLAS
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State | TX
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Zip | 75206-1604
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Country | US
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Telephone | 833-221-4169
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Fax |
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Provider Business Mailing Address
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Address Line | 4100 ELDORADO PKWY STE 100
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City | MCKINNEY
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State | TX
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Zip | 75070-4530
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Country | US
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Telephone | 833-221-4169
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHELLE SANDERS
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Credential |
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Telephone | 833-221-4169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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