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General NPI Number Information
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NPI Number | 1043795495
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Entity Type | Individual
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Provider Name | JEREMY ALLEN MEANS NP
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Gender | Male
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 8555 N STATE HIGHWAY 16
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City | POTEET
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State | TX
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Zip | 78065-4034
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Country | US
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Telephone | 830-742-9070
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Fax |
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Provider Business Mailing Address
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Address Line | 310 W OAKLAWN RD
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City | PLEASANTON
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State | TX
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Zip | 78064-4033
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Country | US
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Telephone | 830-569-8940
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Fax | 830-569-8320
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 788669
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP139044
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP139044
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License Number State | TX
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