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General NPI Number Information
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NPI Number | 1700644945
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Entity Type | Organization
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Legal Business Name | LIVING WELL PHYSICIANS LLC
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1315 ST JOSEPH PKWY STE 1102
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City | HOUSTON
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State | TX
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Zip | 77002-8235
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Country | US
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Telephone | 281-868-1094
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Fax | 281-929-0585
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Provider Business Mailing Address
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Address Line | 1315 ST JOSEPH PKWY STE 1102
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City | HOUSTON
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State | TX
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Zip | 77002-8235
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Country | US
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Telephone | 281-868-1094
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Fax | 281-929-0585
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Authorized Official
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Title or Position | PHYSICIAN
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Name | KEITH ALAN ALDINGER
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Credential | MD MBR
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Telephone | 281-868-1094
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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