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General NPI Number Information
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NPI Number | 1801660287
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Entity Type | Organization
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Legal Business Name | HIGH HEELS NETWORK LLC
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 2909 E ARKANSAS LN STE C123
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City | ARLINGTON
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State | TX
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Zip | 76010-6941
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Country | US
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Telephone | 888-823-1820
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Fax | 682-281-2223
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Provider Business Mailing Address
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Address Line | 2611 BAXTER DR
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-7081
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Country | US
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Telephone | 469-531-7234
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LAURETTA J JOHNSON
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Credential |
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Telephone | 469-531-7234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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