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General NPI Number Information
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NPI Number | 1477353027
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Entity Type | Individual
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Provider Name | EDENIA ISABEL GUERRA FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 500 S WASHINGTON ST
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City | KAUFMAN
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State | TX
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Zip | 75142-2406
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Country | US
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Telephone | 214-666-6259
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Fax |
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Provider Business Mailing Address
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Address Line | 230 O CONNOR RIDGE BLVD STE 110
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City | IRVING
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State | TX
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Zip | 75038-6513
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Country | US
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Telephone | 214-666-6259
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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 | 1191005
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License Number State | TX
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