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General NPI Number Information
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NPI Number | 1770554255
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Entity Type | Individual
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Provider Name | JANIS LOUISE BARGFELDT RN, GNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 04/29/2016
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Provider Practice Location Address
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Address Line | 11004 FM 773
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City | MURCHISON
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State | TX
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Zip | 75778-1761
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Country | US
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Telephone | 903-469-3255
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Fax | 903-469-3255
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Provider Business Mailing Address
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Address Line | 11004 FM 773
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City | MURCHISON
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State | TX
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Zip | 75778-1761
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Country | US
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Telephone | 903-469-3255
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Fax | 903-469-3255
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 626597
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License Number State | TX
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