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General NPI Number Information
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NPI Number | 1730055872
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Entity Type | Individual
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Provider Name | BIMALA DHAKAL APRN, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 11801 SOUTH FWY
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City | BURLESON
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State | TX
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Zip | 76028-7021
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Country | US
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Telephone | 817-293-9110
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Fax |
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Provider Business Mailing Address
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Address Line | 1004 PAYTON LN
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City | EULESS
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State | TX
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Zip | 76040-1120
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Country | US
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Telephone | 720-519-7050
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1217830
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License Number State | TX
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