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General NPI Number Information
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NPI Number | 1962806869
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Entity Type | Organization
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Legal Business Name | A NEW WEIGH CENTER CORP
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Dates
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Enumeration Date | 10/21/2014
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Last Update Date | 10/21/2014
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Provider Practice Location Address
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Address Line | 306 E RANDOL MILL RD STE 136
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City | ARLINGTON
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State | TX
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Zip | 76011-5841
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Country | US
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Telephone | 682-708-4101
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Fax | 682-292-1266
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Provider Business Mailing Address
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Address Line | 306 E RANDOL MILL RD STE 136
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City | ARLINGTON
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State | TX
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Zip | 76011-5841
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Country | US
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Telephone | 682-708-4100
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Fax | 682-292-1266
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Authorized Official
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Title or Position | AUDITOR
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Name | SHIRLEY D HAYWOOD
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Credential | CRFA, CFE
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Telephone | 682-708-4101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | P3167
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License Number State | TX
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