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General NPI Number Information
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NPI Number | 1659051886
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Entity Type | Organization
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Legal Business Name | RISE & SHINE HEALTH PLLC
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Dates
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Enumeration Date | 07/21/2023
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 1108 WEST PIONEER PKWY SUITE 100
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City | ARLINGTON
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State | TX
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Zip | 76013
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Country | US
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Telephone | 682-233-1320
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Fax |
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Provider Business Mailing Address
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Address Line | 539 W COMMERCE ST # 6440
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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 |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | TRISTAR MBC
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Credential |
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Telephone | 386-703-9084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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