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General NPI Number Information
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NPI Number | 1225706849
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Entity Type | Individual
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Provider Name | MRS. ANN LOUISE GILOT
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Gender | Female
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Dates
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Enumeration Date | 08/30/2021
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 4301 COLLEGE DR RM 800
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City | VERNON
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State | TX
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Zip | 76384-3128
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Country | US
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Telephone | 940-553-2965
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Fax | 940-475-6085
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Provider Business Mailing Address
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Address Line | 4301 COLLEGE DR RM 800
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City | VERNON
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State | TX
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Zip | 76384-3128
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Country | US
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Telephone | 940-553-2965
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Fax | 940-475-6085
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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 | 1049140
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License Number State | TX
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