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General NPI Number Information
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NPI Number | 1336006956
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Entity Type | Individual
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Provider Name | BRENDA YSASAGA
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Gender | Female
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 1631 11TH ST
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City | WICHITA FALLS
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State | TX
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Zip | 76301-4322
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Country | US
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Telephone | 940-764-3970
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Fax |
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Provider Business Mailing Address
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Address Line | 21 COLONIAL DR
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City | WICHITA FALLS
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State | TX
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Zip | 76306-1100
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Country | US
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Telephone | 940-733-2456
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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 | 1196425
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License Number State | TX
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