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General NPI Number Information
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NPI Number | 1396668570
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Entity Type | Individual
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Provider Name | TRACIE NOEL BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 1720 SKYLINE DR
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City | SHERMAN
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State | TX
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Zip | 75092-3141
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Country | US
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Telephone | 907-983-2255
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Fax | 907-983-2973
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Provider Business Mailing Address
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Address Line | 1720 SKYLINE DR
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City | SHERMAN
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State | TX
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Zip | 75092-3141
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Country | US
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Telephone | 907-983-2255
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Fax | 907-983-2973
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 969153
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 236130
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License Number State | AK
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