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General NPI Number Information
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NPI Number | 1053841163
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Entity Type | Individual
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Provider Name | VERONIKA JO BRYANT MSN,RN,FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/13/2017
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 1716 MAIN ST
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City | VERNON
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State | TX
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Zip | 76384-4736
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Country | US
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Telephone | 940-553-7092
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Fax | 940-553-7095
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Provider Business Mailing Address
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Address Line | 1716 MAIN ST
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City | VERNON
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State | TX
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Zip | 76384-4736
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Country | US
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Telephone | 940-553-7092
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Fax | 940-553-7095
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP134137
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License Number State | TX
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