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General NPI Number Information
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NPI Number | 1619869922
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Entity Type | Individual
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Provider Name | PATRICK JOSEPH ERMIS FNP-C
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Gender | Male
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 757 E US HIGHWAY 80 STE 150
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City | FORNEY
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State | TX
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Zip | 75126-8731
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Country | US
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Telephone | 972-520-9530
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Fax |
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Provider Business Mailing Address
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Address Line | 3929 COUNTY ROAD 3204
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City | DE KALB
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State | TX
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Zip | 75559-4002
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Country | US
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Telephone | 903-963-6600
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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 | 1214593
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 780990
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License Number State | TX
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