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General NPI Number Information
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NPI Number | 1538561279
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Entity Type | Individual
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Provider Name | REBECCA TAYLOR SHIPLEY NP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2014
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 3201 S LOOP 256
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City | PALESTINE
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State | TX
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Zip | 75801-6901
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Country | US
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Telephone | 903-731-4555
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 846098
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City | DALLAS
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State | TX
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Zip | 75284-6098
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Country | US
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Telephone | 903-606-6400
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Fax | 903-606-1522
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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 | AP126501
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License Number State | TX
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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 | AP126501
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License Number State | TX
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