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General NPI Number Information
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NPI Number | 1710735998
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Entity Type | Organization
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Legal Business Name | EPIC HEALTHCARE NATUROPATHIC CLINIC LC
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Dates
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Enumeration Date | 05/11/2024
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Last Update Date | 05/11/2024
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Provider Practice Location Address
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Address Line | 25145 STAR LN STE 103
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City | KATY
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State | TX
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Zip | 77494-7087
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Country | US
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Telephone | 346-279-5822
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Fax |
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Provider Business Mailing Address
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Address Line | 25145 STAR LN STE 103
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City | KATY
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State | TX
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Zip | 77494-7087
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Country | US
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Telephone | 346-279-5822
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Fax |
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Authorized Official
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Title or Position | MD MANAGING DIRECTOR
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Name | KATHERINE ALADI OKOLIE
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Credential | BLS , BPP , NM
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Telephone | 703-342-7907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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