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General NPI Number Information
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NPI Number | 1760882518
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Entity Type | Individual
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Provider Name | PARVANEH BARRON NP
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Gender | Female
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 10/18/2019
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Provider Practice Location Address
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Address Line | 771 E SOUTHLAKE BLVD STE 101
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City | SOUTHLAKE
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State | TX
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Zip | 76092-1483
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Country | US
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Telephone | 817-715-6166
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Fax |
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Provider Business Mailing Address
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Address Line | 12644 BLACK CHERRY LN
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City | EULESS
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State | TX
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Zip | 76040-3410
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Country | US
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Telephone | 817-715-6166
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP126257
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License Number State | TX
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