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General NPI Number Information
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NPI Number | 1144773730
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Entity Type | Individual
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Provider Name | SONY PAUL FNP
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Gender | Female
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Dates
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Enumeration Date | 07/29/2016
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Last Update Date | 07/29/2016
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Provider Practice Location Address
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Address Line | 2008 E HEBRON PKWY 100
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City | CARROLLTON
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State | TX
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Zip | 75007-1602
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Country | US
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Telephone | 972-492-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 3011 BELMONT CT
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City | IRVING
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State | TX
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Zip | 75060-4884
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Country | US
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Telephone | 972-679-5593
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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 | AP131198
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License Number State | TX
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