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General NPI Number Information
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NPI Number | 1255259255
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Entity Type | Individual
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Provider Name | ENOC ISAI CHICAS FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 12606 GREENVILLE AVE STE 100
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City | DALLAS
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State | TX
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Zip | 75243-1922
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Country | US
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Telephone | 469-294-2183
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Fax | 469-533-1575
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Provider Business Mailing Address
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Address Line | 12606 GREENVILLE AVE STE 100
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City | DALLAS
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State | TX
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Zip | 75243-1922
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Country | US
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Telephone | 469-294-2183
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Fax | 469-533-1575
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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 | 1014728
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License Number State | TX
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