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General NPI Number Information
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NPI Number | 1194489104
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Entity Type | Individual
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Provider Name | IRENE EMANA ALFORD MSN APRN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/26/2021
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Last Update Date | 08/19/2022
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Provider Practice Location Address
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Address Line | 2620 N TRAVIS ST # 400
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City | SHERMAN
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State | TX
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Zip | 75092-2523
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Country | US
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Telephone | 972-661-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 15301 SPECTRUM DR STE 330
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City | ADDISON
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State | TX
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Zip | 75001-6462
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1032236
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License Number State | TX
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