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General NPI Number Information
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NPI Number | 1558914507
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Entity Type | Individual
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Provider Name | DEVON MARIE GOMPERTS APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/18/2019
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 5236 W UNIVERSITY DR STE 3700
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City | MCKINNEY
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State | TX
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Zip | 75071-8123
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Country | US
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Telephone | 214-491-6070
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Fax |
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Provider Business Mailing Address
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Address Line | 10696 E 35TH PL
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City | YUMA
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State | AZ
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Zip | 85365-6863
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Country | US
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Telephone | 214-449-7172
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP142006
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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 | 286928
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License Number State | AZ
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