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General NPI Number Information
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NPI Number | 1750157087
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Entity Type | Organization
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Legal Business Name | CONSAVE HEALTH, PLLC
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 4 SUMMER LN
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City | TEXARKANA
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State | TX
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Zip | 75503-1109
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Country | US
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Telephone | 903-287-5788
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Fax | 903-213-9031
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Provider Business Mailing Address
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Address Line | 4 SUMMER LN
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City | TEXARKANA
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State | TX
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Zip | 75503-1109
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Country | US
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Telephone | 903-287-5788
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Fax | 903-213-9031
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Authorized Official
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Title or Position | FNP/OWNER
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Name | SHANNON DELITE LEAKE
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Credential | APRN, FNP-C
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Telephone | 903-287-5788
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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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