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General NPI Number Information
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NPI Number | 1699345009
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Entity Type | Organization
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Legal Business Name | SALA HEALTH HOUSE CALL LLC
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 10/19/2023
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Provider Practice Location Address
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Address Line | 12436 DAISY LN
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City | FRISCO
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State | TX
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Zip | 75035-0716
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Country | US
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Telephone | 972-896-6144
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Fax |
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Provider Business Mailing Address
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Address Line | 11625 CUSTER RD STE 110-127
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City | FRISCO
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State | TX
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Zip | 75035-8783
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Country | US
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Telephone | 972-896-6144
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Fax |
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Authorized Official
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Title or Position | FNP-C
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Name | SANDRA I ABUSOMWAN
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Credential |
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Telephone | 972-896-6144
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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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