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General NPI Number Information
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NPI Number | 1528944477
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Entity Type | Organization
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Legal Business Name | ADVANCEDNP
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 6649 N RIVERSIDE DR
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City | FORT WORTH
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State | TX
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Zip | 76137-6640
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Country | US
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Telephone | 817-847-1860
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Fax |
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Provider Business Mailing Address
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Address Line | 14601 WOODSHADOW LN
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City | ADDISON
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State | TX
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Zip | 75001-7988
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Country | US
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Telephone | 214-620-1145
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Fax | 775-320-6402
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Authorized Official
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Title or Position | OWNER/CEO
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Name | ERICA RUSH
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Credential | ACNP-BC
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Telephone | 214-620-1145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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