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General NPI Number Information
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NPI Number | 1154210284
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Entity Type | Individual
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Provider Name | CHERYL MCIVOR RN
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Gender | Female
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 2350 N STEMMONS FWY STE 4500
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City | DALLAS
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State | TX
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Zip | 75207-2700
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Country | US
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Telephone | 214-456-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 2616 ELLIS CT
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City | PLANO
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State | TX
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Zip | 75075-3566
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 949447
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License Number State | TX
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