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General NPI Number Information
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NPI Number | 1174381354
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Entity Type | Individual
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Provider Name | ERYNN EBERT CPNP
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Gender | Female
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 295 FM 156 S STE 100
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City | HASLET
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State | TX
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Zip | 76052-3000
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Country | US
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Telephone | 817-347-8504
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Fax | 817-439-8686
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Provider Business Mailing Address
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Address Line | PO BOX 733784
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City | DALLAS
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State | TX
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Zip | 75373-3784
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Country | US
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Telephone | 682-885-6483
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Fax | 682-885-3113
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 1060799
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License Number State | TX
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