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General NPI Number Information
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NPI Number | 1649520578
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Entity Type | Individual
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Provider Name | LADONNA FORD FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/18/2012
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 1221 W AIRPORT FWY STE 209
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City | IRVING
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State | TX
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Zip | 75062-6209
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Country | US
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Telephone | 214-777-2703
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 W AIRPORT FWY STE 100
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City | IRVING
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State | TX
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Zip | 75062-6208
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Country | US
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Telephone | 214-777-2703
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 1177225
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 201040855RN
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License Number State | WA
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