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General NPI Number Information
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NPI Number | 1750892352
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Entity Type | Organization
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Legal Business Name | BEAUTIFUL FROM THE INSIDE OUT PLLC
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Dates
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Enumeration Date | 10/23/2017
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Last Update Date | 10/23/2017
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Provider Practice Location Address
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Address Line | 3814 CLOVER HILL LN
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City | CARROLLTON
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State | TX
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Zip | 75007-2340
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Country | US
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Telephone | 214-699-1647
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Fax | 214-291-5749
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Provider Business Mailing Address
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Address Line | 3814 CLOVER HILL LN
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City | CARROLLTON
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State | TX
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Zip | 75007-2340
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Country | US
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Telephone | 214-699-1647
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Fax | 214-291-5749
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Authorized Official
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Title or Position | OWNER/FNP
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Name | MICHELLE A NEWTON
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Credential | FNP
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Telephone | 214-699-1647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP114998
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License Number State | TX
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