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General NPI Number Information
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NPI Number | 1235793175
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Entity Type | Individual
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Provider Name | JANE YATTA MCARTHY APRN
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Gender | Female
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Dates
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Enumeration Date | 04/25/2019
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Last Update Date | 04/25/2019
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Provider Practice Location Address
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Address Line | 3334 BROADWAY BLVD STE 422
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City | GARLAND
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State | TX
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Zip | 75043-1575
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Country | US
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Telephone | 972-979-7408
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Fax |
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Provider Business Mailing Address
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Address Line | 8009 MUNICH DR # TX75089
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City | ROWLETT
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State | TX
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Zip | 75089-3887
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Country | US
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Telephone | 214-924-0146
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP141424
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License Number State | TX
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