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General NPI Number Information
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NPI Number | 1124658430
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Entity Type | Individual
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Provider Name | FAWNA R. ALLEN MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/26/2020
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 499 S HIGHWAY 78 STE 100
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City | WYLIE
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State | TX
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Zip | 75098-3981
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Country | US
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Telephone | 469-495-9138
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Fax | 469-495-0738
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Provider Business Mailing Address
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Address Line | 251 BRANDING IRON CT
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City | ROYSE CITY
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State | TX
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Zip | 75189-8902
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Country | US
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Telephone | 575-652-9799
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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 | 1094478
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License Number State | TX
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