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General NPI Number Information
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NPI Number | 1134561855
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Entity Type | Individual
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Provider Name | TONI GAFFORD ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 3615 19TH ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1203
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Country | US
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Telephone | 806-725-0402
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Fax | 806-725-2251
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Provider Business Mailing Address
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Address Line | 5910 88TH PL
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City | LUBBOCK
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State | TX
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Zip | 79424-3651
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Country | US
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Telephone | 806-773-1260
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Fax | 806-725-2251
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 594677
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License Number State | TX
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