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General NPI Number Information
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NPI Number | 1114984663
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Entity Type | Individual
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Provider Name | DIONNA M DALZELL ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 03/06/2019
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Provider Practice Location Address
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Address Line | 9525 N BEACH ST STE 405
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City | FORT WORTH
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State | TX
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Zip | 76244
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Country | US
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Telephone | 817-502-7411
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Fax |
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Provider Business Mailing Address
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Address Line | 9525 N BEACH ST STE 405
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City | FORT WORTH
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State | TX
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Zip | 76244-6438
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Country | US
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Telephone | 817-502-7411
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP117498
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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 | 76248
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 110705
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | AP117498
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License Number State | TX
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