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General NPI Number Information
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NPI Number | 1811623432
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Entity Type | Organization
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Legal Business Name | SALUBRIOUS PROFESSIONALS, INC.
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 445 E FM 1382 STE 3698
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City | CEDAR HILL
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State | TX
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Zip | 75104-6047
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Country | US
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Telephone | 214-774-7503
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Fax |
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Provider Business Mailing Address
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Address Line | 445 E FM 1382 STE 3698
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City | CEDAR HILL
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State | TX
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Zip | 75104-6047
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Country | US
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Telephone | 214-774-7503
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Fax |
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Authorized Official
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Title or Position | FOUNDER CEO
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Name | BRITTAINYE WISE
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Credential | PTA
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Telephone | 214-774-7503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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