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General NPI Number Information
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NPI Number | 1629491378
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Entity Type | Organization
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Legal Business Name | YOUR HEALTHCARE PLACE
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Dates
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Enumeration Date | 01/31/2014
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Last Update Date | 10/21/2014
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Provider Practice Location Address
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Address Line | 1813 HINKLE DRIVE SUITE 100
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City | DENTON
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State | TX
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Zip | 76201
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Country | US
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Telephone | 940-312-7266
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Fax | 940-312-7268
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Provider Business Mailing Address
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Address Line | 1813 HINKLE DR. SUITE 100
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City | DENTON
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State | TX
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Zip | 76201
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Country | US
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Telephone | 940-312-7266
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Fax | 940-312-7268
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Authorized Official
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Title or Position | OWNER
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Name | VERONICA SIRLS
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Credential | NP
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Telephone | 940-312-7266
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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 |
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License Number State |
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