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General NPI Number Information
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NPI Number | 1881416758
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Entity Type | Organization
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Legal Business Name | NGTIMMONS WELLNESS
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 5050 QUORUM DR STE 700
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City | DALLAS
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State | TX
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Zip | 75254-1410
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Country | US
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Telephone | 972-636-5890
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Fax |
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Provider Business Mailing Address
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Address Line | 5050 QUORUM DR STE 700
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City | DALLAS
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State | TX
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Zip | 75254-1410
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Country | US
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Telephone | 972-636-5890
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Fax |
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Authorized Official
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Title or Position | SPECIALIST
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Name | NATASHA GOFF TIMMONS
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Credential |
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Telephone | 972-636-5890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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