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NPI 1295769248

NPI 1295769248 : MISTI LONG SCHROLL ANP : TEMPLE, TX

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General NPI Number Information
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    NPI Number           |    1295769248
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    Entity Type          |    Individual 
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    Provider Name        |    MISTI LONG SCHROLL ANP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/10/2006
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    Last Update Date     |    02/13/2026
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Provider Practice Location Address
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    Address Line         |    305 CLINITE GROVE BLVD BLDG B, STE 201
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    City                 |    TEMPLE
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    State                |    TX
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    Zip                  |    76502
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    Country              |    US
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    Telephone            |    855-876-7246
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    Fax                  |    855-277-5070
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Provider Business Mailing Address
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    Address Line         |    PO BOX 844658 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75284-4658
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    Country              |    US
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    Telephone            |    254-724-2111
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    AP114637
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    660028
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    License Number State |    TX
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