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General NPI Number Information
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NPI Number | 1215483920
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Entity Type | Individual
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Provider Name | MAGGIE ALLEN DNP, FNP
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Gender | Female
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 08/29/2019
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Provider Practice Location Address
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Address Line | 500 W 3RD ST
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City | ODESSA
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State | TX
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Zip | 79761-5010
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Country | US
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Telephone | 432-335-8275
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Fax | 432-334-0687
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Provider Business Mailing Address
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Address Line | PO BOX 911230
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City | DALLAS
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State | TX
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Zip | 75391-1230
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Country | US
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Telephone | 972-997-8000
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Fax | 972-234-0813
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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 | 864242
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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 | 100447
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP131551
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License Number State | TX
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