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General NPI Number Information
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NPI Number | 1760128359
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Entity Type | Individual
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Provider Name | NANCY C IFEMESIA NP
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Gender | Female
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Dates
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Enumeration Date | 05/07/2022
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Last Update Date | 05/07/2022
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Provider Practice Location Address
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Address Line | 1105 CENTRAL EXPY N
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City | ALLEN
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State | TX
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Zip | 75013-6103
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Country | US
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Telephone | 972-747-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1114 BRIDGEWAY LN
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City | ALLEN
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State | TX
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Zip | 75013-5625
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Country | US
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Telephone | 631-220-8213
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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 | 1075592
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License Number State | TX
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