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General NPI Number Information
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NPI Number | 1710499256
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Entity Type | Individual
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Provider Name | MASHANDA ELEAH MAY FNP
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Gender | Female
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Dates
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Enumeration Date | 10/24/2017
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 4500 W ILLINOIS AVE BUILDING 1 SUITE 118
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City | MIDLAND
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State | TX
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Zip | 79703-5484
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Country | US
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Telephone | 432-218-7448
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Fax | 888-498-4418
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Provider Business Mailing Address
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Address Line | 4500 W ILLINOIS AVE BUILDING 1 STE 118
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City | MIDLAND
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State | TX
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Zip | 79703-5484
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Country | US
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Telephone | 432-218-7448
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Fax | 888-498-4418
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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 | AP135343
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License Number State | TX
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