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General NPI Number Information
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NPI Number | 1003884826
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Entity Type | Individual
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Provider Name | OPAL M. JOINER
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Gender | Female
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 12222 N CENTRAL EXPY # 100765
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City | DALLAS
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State | TX
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Zip | 75243
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Country | US
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Telephone | 214-219-3747
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Fax | 214-572-7392
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Provider Business Mailing Address
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Address Line | 12222 N CENTRAL EXPY STE 400
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City | DALLAS
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State | TX
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Zip | 75243-3764
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Country | US
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Telephone |
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Fax |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN776650
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP118608
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License Number State | TX
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