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General NPI Number Information
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NPI Number | 1811874555
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Entity Type | Individual
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Provider Name | SUNNI BARR CLEMENTS APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 305 N WILLIAM ST
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City | ATLANTA
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State | TX
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Zip | 75551-2300
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Country | US
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Telephone | 903-614-3630
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Fax |
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Provider Business Mailing Address
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Address Line | 4105 COUNTY ROAD 2116
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City | DOUGLASSVILLE
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State | TX
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Zip | 75560-4609
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Country | US
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Telephone | 903-244-3540
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1209577
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License Number State | TX
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