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General NPI Number Information
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NPI Number | 1386468536
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Entity Type | Individual
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Provider Name | PERPETUAL ANITA ASEME FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 3200 CARTER PKWY
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City | MANSFIELD
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State | TX
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Zip | 76063-4671
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Country | US
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Telephone | 630-724-7481
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 BROADMOOR LN STE 300
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City | FLOWER MOUND
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State | TX
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Zip | 75022-2705
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Country | US
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Telephone | 214-383-8188
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Fax | 214-383-8188
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1179923
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License Number State | TX
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