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General NPI Number Information
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NPI Number | 1497948129
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Entity Type | Individual
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Provider Name | NATALIE GAYLE BRYANT NP
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Gender | Female
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Dates
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Enumeration Date | 08/27/2007
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 928 N GLENWOOD BLVD
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City | TYLER
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State | TX
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Zip | 75702
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Country | US
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Telephone | 903-535-9041
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 844273
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City | DALLAS
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State | TX
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Zip | 75284-4273
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Country | US
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Telephone | 903-535-9041
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP125713
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN152834
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 853818
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License Number State | TX
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