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General NPI Number Information
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NPI Number | 1265069231
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Entity Type | Individual
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Provider Name | PIOUS SUBEDI AGACNP
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Gender | Female
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 1615 HOSPITAL PKWY STE 200
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City | BEDFORD
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State | TX
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Zip | 76022-5935
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Country | US
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Telephone | 817-916-8877
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Fax |
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Provider Business Mailing Address
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Address Line | 13601 JUSTICE CT
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City | EULESS
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State | TX
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Zip | 76040-8967
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Country | US
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Telephone | 703-474-8363
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP145506
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License Number State | TX
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