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General NPI Number Information
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NPI Number | 1124529490
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Entity Type | Individual
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Provider Name | MARIA TRANQUILINA JIMENEZ NP-C
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Gender | Female
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 4206 S INTERSTATE 35 E
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City | DENTON
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State | TX
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Zip | 76207
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Country | US
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Telephone | 940-382-6900
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Fax | 940-382-1005
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Provider Business Mailing Address
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Address Line | 1620 CHURCHILL DR
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City | DENTON
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State | TX
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Zip | 76209-1344
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Country | US
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Telephone | 940-595-3175
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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 | AP136347
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License Number State | TX
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