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General NPI Number Information
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NPI Number | 1588279236
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Entity Type | Individual
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Provider Name | BREANNA PARKER DEHNAD FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 4370 MEDICAL ARTS DR STE 295
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City | FLOWER MOUND
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State | TX
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Zip | 75028-1742
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Country | US
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Telephone | 972-691-3777
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Fax | 972-691-3666
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Provider Business Mailing Address
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Address Line | 950 E STATE HIGHWAY 114 STE 200
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City | SOUTHLAKE
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State | TX
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Zip | 76092-5261
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1011831
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License Number State | TX
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