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General NPI Number Information
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NPI Number | 1801460555
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Entity Type | Organization
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Legal Business Name | FOUNDATION HEALTHCARE PLLC
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Dates
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Enumeration Date | 05/18/2021
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 7109 FM 2920 RD STE 600
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City | SPRING
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State | TX
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Zip | 77379-2218
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Country | US
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Telephone | 832-539-8898
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Fax | 866-638-5742
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Provider Business Mailing Address
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Address Line | 7109 FM 2920 RD STE 600
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City | SPRING
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State | TX
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Zip | 77379-2218
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Country | US
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Telephone | 832-539-8898
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Fax | 866-638-5742
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Authorized Official
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Title or Position | CEO
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Name | MRS. TAMIKA N BEARDEN YOUNG
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Credential | APRN FNP-C
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Telephone | 832-539-8898
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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 |
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License Number State |
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