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General NPI Number Information
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NPI Number | 1104987858
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Entity Type | Individual
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Provider Name | NANCY W REEVE RN, WHCNP
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1121 W MAGNOLIA AVE
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City | FORT WORTH
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State | TX
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Zip | 76104-4435
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Country | US
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Telephone | 817-453-1844
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Fax | 817-332-1151
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Provider Business Mailing Address
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Address Line | 1603 EVERGREEN DR
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City | MESQUITE
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State | TX
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Zip | 75149-6341
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Country | US
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Telephone | 214-893-3240
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Fax | 206-501-3472
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 434790
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License Number State | TX
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