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General NPI Number Information
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NPI Number | 1093768822
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Entity Type | Individual
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Provider Name | HEATHER L. BAILEY APRN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 152 N BRAND ROAD SUITE 100
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City | MURPHY
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State | TX
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Zip | 75094-3748
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Country | US
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Telephone | 972-316-4555
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Fax | 972-422-1808
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Provider Business Mailing Address
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Address Line | 1450 N PRESTON RD STE 60
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City | PROSPER
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State | TX
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Zip | 75078-9890
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Country | US
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Telephone | 972-316-4555
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Fax | 469-802-1548
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 674761
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 674761
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License Number State | TX
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