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General NPI Number Information
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NPI Number | 1629386644
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Entity Type | Individual
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Provider Name | JAMI MAYORGA DICKSON NURSE PRACTIONER
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Gender | Female
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Dates
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Enumeration Date | 09/24/2010
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 4324 MAPLESHADE LN STE 158
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City | PLANO
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State | TX
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Zip | 75093-0050
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Country | US
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Telephone | 972-712-0591
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Fax | 972-421-1527
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Provider Business Mailing Address
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Address Line | 4072 BRIAR TREE LN
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City | FRISCO
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State | TX
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Zip | 75034-3868
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Country | US
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Telephone | 972-712-0591
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Fax | 972-421-1527
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP119548
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License Number State | TX
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