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General NPI Number Information
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NPI Number | 1063443521
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Entity Type | Individual
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Provider Name | JANET A NASH NP
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 10/25/2018
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Provider Practice Location Address
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Address Line | 2923 LA RODA
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City | GRAND PRAIRIE
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State | TX
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Zip | 75054-6502
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Country | US
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Telephone | 469-222-8338
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Fax |
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Provider Business Mailing Address
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Address Line | 2923 LA RODA
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City | GRAND PRAIRIE
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State | TX
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Zip | 75054-6502
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Country | US
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Telephone | 954-693-0000
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Fax | 954-693-0005
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 625887
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License Number State | TX
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