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General NPI Number Information
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NPI Number | 1548420375
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Entity Type | Individual
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Provider Name | PAULA J GRAY APRN CNS GNP
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Gender | Female
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Dates
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Enumeration Date | 06/16/2008
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 2410 STANLEY RD ATTN MCHE DHA
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City | FORT SAM HOUSTON
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State | TX
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Zip | 78234-7529
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Country | US
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Telephone | 210-313-1993
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Fax |
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Provider Business Mailing Address
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Address Line | 2410 STANLEY RD ATTN MCHE DHA BROOKE ARMY MEDICAL CENTER
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City | FT SAM HOUSTON
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State | TX
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Zip | 78234
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Country | US
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Telephone | 210-313-1993
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 569745
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License Number State | TX
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