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General NPI Number Information
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NPI Number | 1598126880
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Entity Type | Organization
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Legal Business Name | VERITAS NP GROUP,LLC
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Dates
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Enumeration Date | 03/14/2016
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Last Update Date | 12/17/2020
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Provider Practice Location Address
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Address Line | 2525 CENTERVILLE RD
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City | DALLAS
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State | TX
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Zip | 75228-2634
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Country | US
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Telephone | 972-366-5533
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Fax | 888-859-0497
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Provider Business Mailing Address
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Address Line | 11625 CUSTER ROAD SUITE 110, #315
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City | FRISCO
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State | TX
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Zip | 75035-8784
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Country | US
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Telephone | 972-366-5533
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Fax | 888-859-0497
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | SHEILA ROLANDA GAMBOA BOLANOS
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Credential | APRN NP-C, FNP-BC
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Telephone | 972-366-5533
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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 | AP121789
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License Number State | TX
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