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General NPI Number Information
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NPI Number | 1649183997
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Entity Type | Organization
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Legal Business Name | ALTITUDE HEALTH PLLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 10318 WESTFIELD PL
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City | SAN ANTONIO
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State | TX
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Zip | 78240-3580
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Country | US
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Telephone | 512-737-2957
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR # 33061
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 512-737-2957
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ADAM MOODY
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Credential | NURSE PRACTITIONER
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Telephone | 512-737-2957
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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 | NULL
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