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General NPI Number Information
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NPI Number | 1063758050
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Entity Type | Organization
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Legal Business Name | TEXAS FIRST HOUSECALL ASSOCIATES INC
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Dates
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Enumeration Date | 12/18/2012
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Last Update Date | 05/28/2014
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Provider Practice Location Address
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Address Line | 3201 INTERSTATE 30 SUITE H
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City | MESQUITE
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State | TX
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Zip | 75150-2605
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Country | US
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Telephone | 972-677-7564
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Fax | 972-677-7419
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Provider Business Mailing Address
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Address Line | 3201 INTERSTATE 30 SUITE H
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City | MESQUITE
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State | TX
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Zip | 75150-2605
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Country | US
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Telephone | 972-677-7564
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Fax | 972-677-7419
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | ZAINABU KOROMA
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Credential | FNP
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Telephone | 972-467-2249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number |
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License Number State |
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