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General NPI Number Information
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NPI Number | 1821960428
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Entity Type | Organization
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Legal Business Name | MARIE S FUTURE LLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1149 KELLER PKWY STE D
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City | KELLER
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State | TX
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Zip | 76248-3614
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Country | US
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Telephone | 817-562-1024
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Fax | 817-549-6649
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Provider Business Mailing Address
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Address Line | 1149 KELLER PKWY STE D
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City | KELLER
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State | TX
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Zip | 76248-3614
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Country | US
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Telephone | 817-562-1024
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Fax | 817-549-6649
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Authorized Official
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Title or Position | OWNER/DIRECTOR OF OPERATIONS
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Name | MRS. PAULA MARIE BROUDY
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Credential |
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Telephone | 817-562-1049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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