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General NPI Number Information
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NPI Number | 1447892401
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Entity Type | Individual
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Provider Name | MUINAT AYINDE APRN
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Gender | Female
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Dates
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Enumeration Date | 10/11/2019
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Last Update Date | 10/11/2019
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Provider Practice Location Address
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Address Line | 306 LOG CABIN RD
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City | ENNIS
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State | TX
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Zip | 75119-8809
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Country | US
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Telephone | 469-773-6345
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Fax |
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Provider Business Mailing Address
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Address Line | 11700 LUNA RD APT 17304
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City | FARMERS BRANCH
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State | TX
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Zip | 75234-6349
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Country | US
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Telephone | 682-554-7624
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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 | AP140622
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License Number State | TX
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