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General NPI Number Information
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NPI Number | 1790442242
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Entity Type | Individual
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Provider Name | YOLANDA ESCALANTE
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Gender | Female
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Dates
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Enumeration Date | 11/18/2021
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 4104 JUNIUS ST
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City | DALLAS
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State | TX
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Zip | 75246-1427
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Country | US
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Telephone | 972-707-7782
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Fax |
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Provider Business Mailing Address
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Address Line | 307 SHADYBROOK CIR
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City | DESOTO
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State | TX
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Zip | 75115-3043
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Country | US
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Telephone | 469-407-8072
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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 | 1059095
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License Number State | TX
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