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General NPI Number Information
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NPI Number | 1750779542
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Entity Type | Organization
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Legal Business Name | AURORA CONCEPTS, PLLC
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Dates
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Enumeration Date | 12/31/2014
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Last Update Date | 07/16/2019
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Provider Practice Location Address
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Address Line | 233 HURST STREET SUITE B
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City | CENTER
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State | TX
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Zip | 75935
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Country | US
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Telephone | 936-598-3296
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Fax | 936-598-9208
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Provider Business Mailing Address
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Address Line | PO BOX 213
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City | CENTER
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State | TX
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Zip | 75935
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Country | US
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Telephone | 936-598-3296
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Fax | 936-598-9208
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | ANITA DAWN BARNES
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Credential | FNP
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Telephone | 936-590-2906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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