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General NPI Number Information
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NPI Number | 1841849262
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Entity Type | Individual
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Provider Name | EMILY NYMAN MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/09/2019
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Last Update Date | 09/09/2019
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Provider Practice Location Address
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Address Line | 4315 JAMES CASEY ST STE 200
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City | AUSTIN
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State | TX
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Zip | 78745-3364
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Country | US
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Telephone | 512-383-9752
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Fax |
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Provider Business Mailing Address
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Address Line | 4604 BORAGE DR
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City | AUSTIN
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State | TX
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Zip | 78744-6421
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Country | US
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Telephone | 651-303-9782
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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 | AP142912
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License Number State | TX
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