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General NPI Number Information
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NPI Number | 1558732602
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Entity Type | Individual
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Provider Name | DENISE A ADAMS AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/15/2015
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Last Update Date | 10/15/2015
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Provider Practice Location Address
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Address Line | 3410 WORTH ST 9TH FLOOR
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City | DALLAS
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State | TX
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Zip | 75246-2003
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Country | US
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Telephone | 469-360-8809
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Fax |
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Provider Business Mailing Address
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Address Line | 4217 CRESTVIEW LN
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City | MANSFIELD
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State | TX
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Zip | 76063-8622
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP129348
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License Number State | TX
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