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General NPI Number Information
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NPI Number | 1114953981
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Entity Type | Individual
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Provider Name | GISELA TAYLOR NELSON NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 201 AMANDA LN SUITE 200
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City | WAXAHACHIE
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State | TX
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Zip | 75165-1390
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Country | US
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Telephone | 972-937-1300
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Fax | 972-937-1389
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Provider Business Mailing Address
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Address Line | 5205 ORLANDO CIR
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City | ROWLETT
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State | TX
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Zip | 75088-1873
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Country | US
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Telephone | 469-396-5302
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 527396
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License Number State | TX
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