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General NPI Number Information
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NPI Number | 1669270617
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Entity Type | Individual
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Provider Name | CHRISTINE POBLETE
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Gender | Female
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 6202 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75235
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Country | US
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Telephone | 817-721-7418
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Fax |
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Provider Business Mailing Address
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Address Line | 4402 ALDERNEY DR
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City | GARLAND
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State | TX
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Zip | 75043-7221
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Country | US
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Telephone | 817-721-7418
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1190223
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License Number State | TX
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