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General NPI Number Information
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NPI Number | 1740002542
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Entity Type | Individual
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Provider Name | VANESSA AMANDA PRICE APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 2006 FALL CREEK HWY
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City | GRANBURY
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State | TX
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Zip | 76049-7913
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Country | US
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Telephone | 817-326-3440
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Fax | 817-940-9421
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Provider Business Mailing Address
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Address Line | PO BOX 5334
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City | GRANBURY
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State | TX
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Zip | 76049-0334
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Country | US
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Telephone | 817-326-3440
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Fax | 817-910-9421
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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 | 1179270
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License Number State | TX
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