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General NPI Number Information
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NPI Number | 1447965959
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Entity Type | Individual
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Provider Name | JEREMY WEST NP
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Gender | Male
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Dates
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Enumeration Date | 01/18/2023
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 500 N HIGHLAND AVE
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City | SHERMAN
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State | TX
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Zip | 75092-7354
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Country | US
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Telephone | 903-870-4122
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Fax |
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Provider Business Mailing Address
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Address Line | 2446 VERNON ST
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City | BELLS
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State | TX
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Zip | 75414-3433
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Country | US
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Telephone | 480-650-5001
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 1100750
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1100750
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License Number State | TX
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