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General NPI Number Information
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NPI Number | 1366870966
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Entity Type | Individual
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Provider Name | DANA MARIE LEDET-HURD PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/17/2013
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 233 SGT ED HOLCOMB BLVD S
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City | CONROE
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State | TX
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Zip | 77304-1990
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Country | US
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Telephone | 936-521-6100
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Fax | 936-538-1189
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Provider Business Mailing Address
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Address Line | 11611 COLUMBIA PINES LN
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City | CYPRESS
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State | TX
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Zip | 77433-1650
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Country | US
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Telephone | 337-247-0510
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP07563
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP124923
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License Number State | TX
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