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General NPI Number Information
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NPI Number | 1013050533
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Entity Type | Individual
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Provider Name | NICOLE ANN BRAY PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 2720 WESTERN CENTER BLVD STE 312
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City | FORT WORTH
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State | TX
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Zip | 76131-4302
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Country | US
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Telephone | 855-893-5637
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Fax | 817-666-3873
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Provider Business Mailing Address
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Address Line | 2340 E TRINITY MILLS RD STE 250
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City | CARROLLTON
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State | TX
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Zip | 75006-1946
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Country | US
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Telephone | 972-417-8937
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Fax | 972-439-1977
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA04796
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License Number State | TX
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