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General NPI Number Information
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NPI Number | 1518286392
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Entity Type | Individual
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Provider Name | SHAY MILLER HUDSON FNP
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Gender | Female
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Dates
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Enumeration Date | 05/19/2010
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 301 N PRESTON RD STE B
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City | PROSPER
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State | TX
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Zip | 75078
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Country | US
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Telephone | 972-347-1320
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Fax | 972-347-1322
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Provider Business Mailing Address
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Address Line | 301 N PRESTON RD STE B
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City | PROSPER
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State | TX
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Zip | 75078-8876
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Country | US
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Telephone | 972-347-1320
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Fax | 972-347-1322
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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 | R867359
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP139219
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License Number State | TX
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