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General NPI Number Information
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NPI Number | 1679175517
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Entity Type | Organization
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Legal Business Name | EMPOWER HEALTH AND WELLNESS, PLLC
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Dates
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Enumeration Date | 11/16/2020
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Last Update Date | 11/16/2020
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Provider Practice Location Address
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Address Line | 15922 EL DORADO PARKWAY SUITE #500#536
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City | FRISCO
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State | TX
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Zip | 57035
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Country | US
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Telephone | 121-441-5933
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Fax |
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Provider Business Mailing Address
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Address Line | 4340 FISHER RD
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City | PROSPER
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State | TX
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Zip | 75078-2602
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Country | US
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Telephone | 214-415-9334
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HARRISON LEWIS III
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Credential | PA-C
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Telephone | 214-415-9334
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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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