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General NPI Number Information
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NPI Number | 1851252324
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Entity Type | Individual
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Provider Name | TRACY LENORE WORTHY
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Gender | Female
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Dates
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Enumeration Date | 11/22/2025
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Last Update Date | 11/22/2025
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Provider Practice Location Address
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Address Line | 6619 LINDALE MANOR CT
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City | SPRING
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State | TX
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Zip | 77379-8930
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Country | US
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Telephone | 281-723-4375
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Fax |
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Provider Business Mailing Address
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Address Line | 22720 WEST ST APT B
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City | PLAQUEMINE
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State | LA
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Zip | 70764-2202
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Country | US
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Telephone | 225-455-9251
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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