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General NPI Number Information
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NPI Number | 1821893124
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Entity Type | Organization
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Legal Business Name | EVERWELL HEALTH & WELLNESS
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 3008 POLAR LN STE 101
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City | CEDAR PARK
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State | TX
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Zip | 78613-1914
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Country | US
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Telephone | 512-924-4923
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Fax |
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Provider Business Mailing Address
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Address Line | 3008 POLAR LN STE 101
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City | CEDAR PARK
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State | TX
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Zip | 78613-1914
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Country | US
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Telephone | 512-924-4923
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. COURTNEY RAE HAMBY
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Credential | MSN, APRN, FNP-BC
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Telephone | 512-924-4923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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