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General NPI Number Information
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NPI Number | 1467797761
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Entity Type | Individual
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Provider Name | ANTOINETTE BEQUETTE
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Gender | Female
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Dates
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Enumeration Date | 11/28/2012
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 8911 N CAPITAL OF TEXAS HWY STE 110
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City | AUSTIN
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State | TX
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Zip | 78759-7247
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Country | US
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Telephone | 913-374-0218
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Fax |
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Provider Business Mailing Address
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Address Line | 8911 N CAPITAL OF TEXAS HWY STE 110
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City | AUSTIN
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State | TX
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Zip | 78759-7247
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Country | US
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Telephone | 913-374-0218
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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 | 2012036773
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License Number State | MO
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