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General NPI Number Information
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NPI Number | 1134655392
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Entity Type | Individual
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Provider Name | NIRUPAMA ESTHER JEROME DNP
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Gender | Female
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Dates
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Enumeration Date | 05/10/2017
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 8015 SHOAL CREEK BLVD STE 114
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City | AUSTIN
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State | TX
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Zip | 78757-8051
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Country | US
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Telephone | 512-384-1560
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Fax | 512-732-9957
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Provider Business Mailing Address
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Address Line | 6920 POINTE INVERNESS WAY STE 200 MEDPARTNERS, ATTN: MEGAN FORTNEY
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City | FORT WAYNE
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State | IN
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Zip | 46804-7934
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Country | US
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Telephone | 260-479-3515
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Fax | 260-479-3520
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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 | 28194298A
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License Number State | IN
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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 | AP139113
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License Number State | TX
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