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General NPI Number Information
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NPI Number | 1699672105
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Entity Type | Organization
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Legal Business Name | INES WELLNESS HUB, PLLC
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Dates
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Enumeration Date | 10/20/2026
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Last Update Date | 10/20/2026
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Provider Practice Location Address
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Address Line | 12650 N BEACH S SUITE 114, PMB 3032
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City | FORT WORTH
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State | TX
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Zip | 76244
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Country | US
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Telephone | 318-497-1135
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Fax |
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Provider Business Mailing Address
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Address Line | 12650 NORTH BEACH STREET SUITE 114 PMB 1032
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City | KELLER
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State | TX
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Zip | 76244
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Country | US
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Telephone | 318-497-1135
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | PAULINE INES NDEME BOYOGUENO
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Credential | APRN
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Telephone | 318-497-1135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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