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General NPI Number Information
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NPI Number | 1518592658
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Entity Type | Individual
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Provider Name | ALMA LILIANA PEDERSON
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Gender | Female
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Dates
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Enumeration Date | 03/09/2020
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Last Update Date | 03/09/2020
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Provider Practice Location Address
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Address Line | 2760 VIRGINIA PKWY STE 100
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City | MCKINNEY
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State | TX
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Zip | 75071-4964
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Country | US
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Telephone | 972-542-1180
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Fax |
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Provider Business Mailing Address
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Address Line | 3304 CALVIN RD
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City | MCKINNEY
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State | TX
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Zip | 75071-1416
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Country | US
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Telephone | 214-284-0718
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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 | AP143933
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License Number State | TX
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