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General NPI Number Information
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NPI Number | 1174978746
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Entity Type | Individual
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Provider Name | CARRIE BAUGHMAN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 5601 WARREN PKWY
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City | FRISCO
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State | TX
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Zip | 75034-4069
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Country | US
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Telephone | 214-407-5166
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Fax | 214-407-5165
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Provider Business Mailing Address
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Address Line | 860 BUTCHART DR
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City | PROSPER
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State | TX
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Zip | 75078-9049
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Country | US
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Telephone | 469-450-4940
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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 | 813920
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License Number State | TX
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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 | AP131097
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License Number State | TX
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