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General NPI Number Information
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NPI Number | 1356185730
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Entity Type | Individual
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Provider Name | VINAYA JOSEPH FNP
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Gender | Female
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Dates
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Enumeration Date | 06/21/2024
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 813 W WHITE ST STE 100
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City | ANNA
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State | TX
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Zip | 75409-2639
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Country | US
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Telephone | 972-924-8224
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Fax |
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Provider Business Mailing Address
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Address Line | 1916 NATCHEZ TRCE
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City | ALLEN
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State | TX
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Zip | 75013-4874
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Country | US
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Telephone | 469-321-1276
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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 | F05240928
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License Number State | TX
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