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General NPI Number Information
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NPI Number | 1649032335
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Entity Type | Organization
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Legal Business Name | OPTIMAL HEALTH, PLLC
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 4113 LAWNDALE DR
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City | GREENSBORO
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State | NC
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Zip | 27455-1889
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Country | US
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Telephone | 336-883-4296
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Fax | 336-900-1584
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Provider Business Mailing Address
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Address Line | 5912 ELECTION OAK DR
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City | HIGH POINT
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State | NC
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Zip | 27265-3187
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Country | US
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Telephone | 336-883-4296
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | HEATHER FLYNT
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Credential | NP
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Telephone | 336-847-9950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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