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General NPI Number Information
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NPI Number | 1255189452
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Entity Type | Individual
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Provider Name | ALISHA DAREDIA APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/11/2024
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Last Update Date | 05/11/2024
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Provider Practice Location Address
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Address Line | 11330 LEGACY DR STE 303
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City | FRISCO
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State | TX
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Zip | 75033-1222
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Country | US
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Telephone | 832-664-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 5231 TERRY ST
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City | DALLAS
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State | TX
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Zip | 75223-2048
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Country | US
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Telephone | 832-664-0300
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1127991
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License Number State | TX
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