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General NPI Number Information
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NPI Number | 1790412898
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Entity Type | Individual
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Provider Name | HALEY ELIZABETH ROME APRN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 2401 PRESTON RD STE F
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City | PLANO
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State | TX
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Zip | 75093-2346
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Country | US
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Telephone | 214-763-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 3880 MUNGER AVE UNIT 6
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City | DALLAS
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State | TX
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Zip | 75204-4284
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Country | US
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Telephone | 903-253-4480
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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 | 1088622
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License Number State | TX
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