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General NPI Number Information
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NPI Number | 1871455436
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Entity Type | Organization
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Legal Business Name | INNOVATIVE HEALTH & WELLNESS MESQUITE SERIES
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 2712 I 30
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City | MESQUITE
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State | TX
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Zip | 75150-2710
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Country | US
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Telephone | 972-535-8936
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Fax | 972-457-1461
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Provider Business Mailing Address
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Address Line | 2712 I 30
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City | MESQUITE
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State | TX
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Zip | 75150-2710
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Country | US
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Telephone | 972-535-8936
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Fax | 972-457-1461
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Authorized Official
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Title or Position | VP REVENUE CYCLE MGMT
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Name | APRIL SAWYER
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Credential |
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Telephone | 817-202-5179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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