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General NPI Number Information
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NPI Number | 1659145779
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Entity Type | Individual
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Provider Name | ALYCIA TAYLOR BILLEAUDEAUX FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/09/2023
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 4910 MUELLER BLVD # 104
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City | AUSTIN
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State | TX
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Zip | 78723-3079
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Country | US
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Telephone | 512-324-0042
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Fax | 512-342-0043
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Provider Business Mailing Address
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Address Line | 116 ROUND VALLEY CT
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City | LIBERTY HILL
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State | TX
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Zip | 78642-2259
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Country | US
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Telephone | 903-422-3239
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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 | 1139831
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License Number State | TX
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