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General NPI Number Information
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NPI Number | 1003559428
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Entity Type | Individual
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Provider Name | SIMONA E ARNAUTOV AGACNP
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Gender | Female
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 05/19/2023
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Provider Practice Location Address
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Address Line | 3001 E PRESIDENT GEORGE BUSH HWY STE 175
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City | RICHARDSON
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State | TX
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Zip | 75082-3551
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Country | US
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Telephone | 214-635-5701
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Fax | 844-289-7691
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Provider Business Mailing Address
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Address Line | 3001 E PRESIDENT GEORGE BUSH HWY STE 175
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City | RICHARDSON
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State | TX
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Zip | 75082-3551
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Country | US
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Telephone | 214-635-5701
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Fax | 844-289-7691
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1073234
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1073234
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1073234
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License Number State | TX
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