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General NPI Number Information
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NPI Number | 1992579080
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Entity Type | Organization
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Legal Business Name | ALL FAMILY WELLNESS CENTER
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Dates
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Enumeration Date | 11/09/2023
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 1606 INDUSTRIAL CT
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City | ARLINGTON
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State | TX
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Zip | 76011-4726
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Country | US
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Telephone | 682-248-3918
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Fax | 682-248-3321
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Provider Business Mailing Address
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Address Line | 1606 INDUSTRIAL CT
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City | ARLINGTON
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State | TX
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Zip | 76011-4726
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Country | US
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Telephone | 682-248-3918
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Fax | 682-248-3321
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | KALETHIA BUSH
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Credential |
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Telephone | 972-861-2013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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