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General NPI Number Information
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NPI Number | 1457092389
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Entity Type | Individual
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Provider Name | ACARA NESBETH
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Gender | Female
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 1452 HUGHES RD STE 200
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City | GRAPEVINE
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State | TX
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Zip | 76051
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Country | US
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Telephone | 817-608-7454
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Fax | 817-719-8089
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Provider Business Mailing Address
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Address Line | 2583 HALL JOHNSON RD APT 424
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City | GRAPEVINE
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State | TX
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Zip | 76051-7192
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Country | US
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Telephone | 817-608-7454
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Fax | 817-719-8089
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1071843
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP6149904
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License Number State | WA
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