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NPI 1477988475

NPI 1477988475 : SHEEBA R MATHAI FNP-BC : FRISCO, TX

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General NPI Number Information
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    NPI Number           |    1477988475
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    Entity Type          |    Individual 
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    Provider Name        |    SHEEBA R MATHAI FNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/09/2013
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    Last Update Date     |    05/13/2026
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Provider Practice Location Address
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    Address Line         |    400 STONEBROOK PKWY UNIT 201 
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75036-1181
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    Country              |    US
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    Telephone            |    972-787-2710
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    Fax                  |    214-387-1889
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Provider Business Mailing Address
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    Address Line         |    400 STONEBROOK PKWY UNIT 201 
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75036-1181
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    Country              |    US
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    Telephone            |    972-313-5017
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    Fax                  |    214-387-1889
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    661899
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    291U00000X
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    Taxonomy Name        |    Clinical Medical Laboratory
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    License Number       |    0033289
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    AP123519
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    License Number State |    TX
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