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General NPI Number Information
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NPI Number | 1265047666
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Entity Type | Organization
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Legal Business Name | NP HEALTHCARE ASSOCIATES, LLC
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Dates
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Enumeration Date | 09/11/2020
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Last Update Date | 10/14/2020
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Provider Practice Location Address
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Address Line | 1901 SOUTHEAST PKWY STE 101
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City | ARLINGTON
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State | TX
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Zip | 76018-3605
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Country | US
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Telephone | 682-206-3040
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 SOUTHEAST PKWY STE 101
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City | ARLINGTON
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State | TX
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Zip | 76018-3605
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Country | US
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Telephone | 682-804-8088
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Fax | 954-246-1546
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | DEMISHE FONTENOT
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Credential | FNP-C
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Telephone | 682-804-8088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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