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General NPI Number Information
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NPI Number | 1780277731
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Entity Type | Organization
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Legal Business Name | EXCEED HEALTH CLINIC
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 3725 MALL DR.
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City | TEXARKANA
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State | TX
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Zip | 75501-2658
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Country | US
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Telephone | 903-306-0001
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Fax | 866-232-5707
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Provider Business Mailing Address
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Address Line | 3725 MALL DR.
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City | TEXARKANA
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State | TX
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Zip | 75501-2658
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Country | US
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Telephone | 903-306-0001
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Fax | 866-232-5707
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Authorized Official
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Title or Position | OWNER/APRN
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Name | DIXIE ROBINSON
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Credential |
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Telephone | 903-278-8156
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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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