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General NPI Number Information
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NPI Number | 1417366436
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Entity Type | Individual
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Provider Name | ANNALISE CLAYBORNE PNP
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Gender | Female
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Dates
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Enumeration Date | 08/04/2014
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 1400 N. COIT STE. 2302
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City | MCKINNEY
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State | TX
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Zip | 75071
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Country | US
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Telephone | 469-290-3208
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Fax | 469-252-1696
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Provider Business Mailing Address
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Address Line | 1400 N COIT RD STE 2302
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City | MCKINNEY
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State | TX
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Zip | 75071-6663
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Country | US
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Telephone | 469-299-3208
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Fax | 469-252-1696
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP126153
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License Number State | TX
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