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General NPI Number Information
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NPI Number | 1285129460
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Entity Type | Individual
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Provider Name | LOTTIE MARIE EVERETT MSN APRN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/29/2018
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 1925 E BELT LINE RD STE 208
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City | CARROLLTON
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State | TX
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Zip | 75006-5826
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Country | US
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Telephone | 972-666-9200
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Fax | 469-900-8090
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Provider Business Mailing Address
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Address Line | 6033 SANDHURST LN APT A
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City | DALLAS
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State | TX
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Zip | 75206-4719
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Country | US
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Telephone | 817-823-8057
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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 | AP140418
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License Number State | TX
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