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General NPI Number Information
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NPI Number | 1700136009
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Entity Type | Individual
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Provider Name | MONIQUE LADONNA SIMMONS APNP
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Gender | Female
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Dates
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Enumeration Date | 09/13/2012
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 2100 N COLLINS ST
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City | ARLINGTON
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State | TX
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Zip | 76011-2802
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Country | US
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Telephone | 682-212-9144
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Fax |
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Provider Business Mailing Address
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Address Line | 936 MEADOW SCAPE DR
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City | BURLESON
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State | TX
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Zip | 76028-6999
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Country | US
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Telephone | 608-215-1636
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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 | 4970-33
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP128039
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License Number State | TX
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