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General NPI Number Information
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NPI Number | 1063185924
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Entity Type | Organization
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Legal Business Name | SPLENDID CEDAR HEALTHCARE PLLC
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Dates
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Enumeration Date | 07/27/2021
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Last Update Date | 12/12/2022
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Provider Practice Location Address
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Address Line | 1101 E ARAPAHO RD STE 140
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City | RICHARDSON
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State | TX
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Zip | 75081-2352
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Country | US
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Telephone | 469-592-9371
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Fax | 469-519-4945
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Provider Business Mailing Address
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Address Line | 1101 E ARAPAHO RD STE 140
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City | RICHARDSON
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State | TX
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Zip | 75081-2352
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Country | US
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Telephone | 469-592-9371
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Fax | 469-519-4945
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DR. CHARLOTTE F ISAH
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Credential | DNP
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Telephone | 214-716-9606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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