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General NPI Number Information
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NPI Number | 1225661135
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Entity Type | Individual
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Provider Name | JOSEPH D COURAGE FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 222 S CEDAR RIDGE DR
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4529
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Country | US
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Telephone | 972-298-6174
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Fax |
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Provider Business Mailing Address
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Address Line | 222 S CEDAR RIDGE DR
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4529
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Country | US
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Telephone | 972-298-6174
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Fax | 972-709-1570
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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 | AP135863
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License Number State | TX
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