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General NPI Number Information
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NPI Number | 1730334723
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Entity Type | Individual
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Provider Name | RETA FIELDSMITH RN ANP
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Gender | Female
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1001 GLENDA ST
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City | TERRELL
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State | TX
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Zip | 75160-5013
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Country | US
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Telephone | 214-232-3471
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Fax | 888-990-2984
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Provider Business Mailing Address
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Address Line | 1001 GLENDA ST
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City | TERRELL
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State | TX
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Zip | 75160-5013
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Country | US
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Telephone | 214-232-3471
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Fax | 888-990-2984
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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 | AP117141
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP117141
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP117141
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License Number State | TX
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