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General NPI Number Information
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NPI Number | 1235017542
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Entity Type | Individual
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Provider Name | AUDREY POPELAR
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Gender | Female
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 1500 S MAIN ST
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City | FORT WORTH
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State | TX
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Zip | 76104-4941
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Country | US
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Telephone | 817-702-3431
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Fax |
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Provider Business Mailing Address
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Address Line | 1161 SPRING CRESS DR
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City | BURLESON
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State | TX
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Zip | 76028-1888
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Country | US
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Telephone | 903-806-0384
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 945311
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1215070
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License Number State | TX
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