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General NPI Number Information
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NPI Number | 1508467515
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Entity Type | Individual
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Provider Name | NATALIE NICOLE FONTENOT FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/05/2020
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 318 RICHLAND WEST CIR
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City | WACO
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State | TX
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Zip | 76712-7919
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Country | US
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Telephone | 254-777-8008
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Fax |
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Provider Business Mailing Address
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Address Line | 8150 SPRINGWOOD DR # 150B
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City | IRVING
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State | TX
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Zip | 75063-5810
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Country | US
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Telephone | 469-253-5834
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Fax | 469-213-2523
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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 | 1010243
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 791906
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License Number State | TX
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