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General NPI Number Information
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NPI Number | 1942703194
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Entity Type | Organization
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Legal Business Name | NURTURE GENETICS LLC
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 03/14/2018
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Provider Practice Location Address
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Address Line | 9894 BREWER RD
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City | SALADO
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State | TX
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Zip | 76571-5130
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Country | US
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Telephone | 254-613-0399
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 144
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City | SALADO
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State | TX
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Zip | 76571-0144
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Country | US
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Telephone | 254-613-0399
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Fax |
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Authorized Official
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Title or Position | FOUNDER & CEO
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Name | MS. EMILY ELISE SIGLER
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Credential | M.S., L.C.G.C.
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Telephone | 254-613-0399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State |
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