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General NPI Number Information
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NPI Number | 1467261602
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Entity Type | Individual
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Provider Name | COURTNEY DANIELLE MASTERS FNP
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Gender | Female
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 13450 RESEARCH BLVD STE 115
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City | AUSTIN
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State | TX
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Zip | 78750-3227
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Country | US
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Telephone | 512-609-8338
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 S INTERSTATE 35 UNIT 624
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City | AUSTIN
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State | TX
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Zip | 78745-6628
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Country | US
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Telephone | 765-716-4316
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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 | 1184121
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License Number State | TX
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