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General NPI Number Information
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NPI Number | 1265264139
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Entity Type | Individual
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Provider Name | AMYNAH JUMA
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Gender | Female
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Dates
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Enumeration Date | 08/19/2024
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 4401 COIT RD
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City | FRISCO
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State | TX
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Zip | 75035-0500
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Country | US
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Telephone | 972-731-9299
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Fax |
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Provider Business Mailing Address
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Address Line | 2367 STOCKTON LN
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City | FRISCO
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State | TX
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Zip | 75036-7875
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Country | US
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Telephone | 513-290-9462
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 1171226
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License Number State | TX
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