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General NPI Number Information
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NPI Number | 1790303196
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Entity Type | Organization
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Legal Business Name | RESTORATIVE HEALTH, LLC
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Dates
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Enumeration Date | 07/12/2020
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 4654 HIGHWAY 6 N STE 308
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City | HOUSTON
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State | TX
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Zip | 77084-2879
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Country | US
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Telephone | 832-489-7207
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Fax |
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Provider Business Mailing Address
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Address Line | 21510 PALARAMO CT
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City | RICHMOND
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State | TX
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Zip | 77407-7164
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Country | US
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Telephone | 832-489-7207
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | THELMA MCRIPLEY
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Credential |
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Telephone | 832-489-7207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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