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NPI 1700537198

NPI 1700537198 : COURTNEY ANNE HOPPENRATH APRN, FNP-C : SOUTHLAKE, TX

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General NPI Number Information
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    NPI Number           |    1700537198
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    Entity Type          |    Individual 
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    Provider Name        |    COURTNEY ANNE HOPPENRATH APRN, FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/17/2022
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    Last Update Date     |    03/06/2025
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Provider Practice Location Address
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    Address Line         |    ACADEMY FOOT & ANKLE SPECIALISTS 9140 E. STATE HWY 114, SUITE 150
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    City                 |    SOUTHLAKE
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    State                |    TX
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    Zip                  |    86092-6526
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    Country              |    US
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    Telephone            |    817-424-3668
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    Fax                  |    817-442-8637
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Provider Business Mailing Address
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    Address Line         |    9140 E. STATE HWY 114 SUITE 150
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    City                 |    SOUTHLAKE
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    State                |    TX
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    Zip                  |    76092-6529
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    Country              |    US
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    Telephone            |    817-424-3668
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    Fax                  |    817-442-8637
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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       |    1066723
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    License Number State |    TX
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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       |    1066723
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    License Number State |    TX
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