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General NPI Number Information
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NPI Number | 1083205199
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Entity Type | Individual
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Provider Name | HALEY MARIE KNOWLES
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Gender | Female
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 5939 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75235-6246
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Country | US
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Telephone | 214-645-5505
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Fax |
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Provider Business Mailing Address
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Address Line | 9180 PINECROFT DR # 400
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City | SHENANDOAH
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State | TX
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Zip | 77380-2794
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Country | US
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Telephone |
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Fax |
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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 | 848622
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1031073
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License Number State | TX
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