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General NPI Number Information
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NPI Number | 1720707037
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Entity Type | Individual
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Provider Name | ONNA FEUCHTER APRN, FNP-C, FNP-BC.
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Gender | Female
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 415 E SOUTHLAKE BLVD
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6250
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Country | US
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Telephone | 817-416-8080
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Fax |
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Provider Business Mailing Address
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Address Line | 10028 TULE LAKE RD
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City | FORT WORTH
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State | TX
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Zip | 76177-1422
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Country | US
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Telephone | 915-875-7112
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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 | 163WS0121X
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Taxonomy Name | Plastic Surgery Registered Nurse
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License Number | 765159
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1048142
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License Number State | TX
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