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General NPI Number Information
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NPI Number | 1417529520
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Entity Type | Individual
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Provider Name | POSHA GT MSN,APRN,FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/16/2021
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 4500 SPRING AVE
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City | DALLAS
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State | TX
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Zip | 75210-1350
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Country | US
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Telephone | 972-817-6240
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Fax |
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Provider Business Mailing Address
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Address Line | 4090 MAPLESHADE LN STE 210
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City | PLANO
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State | TX
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Zip | 75093-0026
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1047421
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License Number State | TX
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