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General NPI Number Information
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NPI Number | 1790668655
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Entity Type | Individual
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Provider Name | LATOYA N LENNIX
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Gender | Female
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 2540 N GALLOWAY AVE
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City | MESQUITE
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State | TX
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Zip | 75150-6306
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Country | US
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Telephone | 469-743-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 7690 W HIGHLAND RD
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City | OVILLA
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State | TX
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Zip | 75154-5544
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Country | US
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Telephone | 214-707-8701
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Fax | 469-802-1507
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | TX
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