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General NPI Number Information
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NPI Number | 1811627391
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Entity Type | Individual
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Provider Name | VICTORIA BARRAZA FNP
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Gender | Female
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Dates
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Enumeration Date | 06/16/2022
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 3705 LAKEVIEW PKWY STE 400
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City | ROWLETT
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State | TX
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Zip | 75088-4179
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Country | US
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Telephone | 469-888-6411
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Fax |
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Provider Business Mailing Address
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Address Line | 5519 ARAPAHO RD APT 432
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City | DALLAS
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State | TX
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Zip | 75248-3631
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Country | US
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Telephone |
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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 | 5016372
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1133418
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License Number State | TX
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