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General NPI Number Information
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NPI Number | 1851161160
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Entity Type | Organization
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Legal Business Name | T-LIFEBIO
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 18304 WILLOW SAGE LN
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City | ELGIN
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State | TX
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Zip | 78621-4248
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Country | US
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Telephone | 512-817-6774
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Fax |
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Provider Business Mailing Address
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Address Line | 18304 WILLOW SAGE LN
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City | ELGIN
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State | TX
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Zip | 78621-4248
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Country | US
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Telephone | 512-817-6774
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RONALD BIRCHFIELD
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Credential |
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Telephone | 512-817-6774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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