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General NPI Number Information
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NPI Number | 1831704311
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Entity Type | Organization
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Legal Business Name | HOLISTIC GROUP LLC
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Dates
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Enumeration Date | 09/11/2020
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 510 CASSIA WAY
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City | ARLINGTON
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State | TX
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Zip | 76002-4520
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Country | US
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Telephone | 214-258-8817
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Fax |
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Provider Business Mailing Address
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Address Line | 510 CASSIA WAY
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City | ARLINGTON
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State | TX
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Zip | 76002-4520
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Country | US
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Telephone | 214-258-8817
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | CAROLINE ANUH-NDUMU
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Credential |
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Telephone | 402-301-8731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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