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General NPI Number Information
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NPI Number | 1184327058
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Entity Type | Individual
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Provider Name | MYRANDA LEIGH ADAMSON DNP,APRN-CNP, NNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/22/2023
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 4215 JOE RAMSEY BLVD E
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City | GREENVILLE
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State | TX
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Zip | 75401-7852
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Country | US
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Telephone | 903-408-5178
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Fax |
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Provider Business Mailing Address
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Address Line | 510 SKELTON ST
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City | ROYSE CITY
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State | TX
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Zip | 75189-8553
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Country | US
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Telephone | 903-268-5567
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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 | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 1113012
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License Number State | TX
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