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General NPI Number Information
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NPI Number | 1841979184
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Entity Type | Individual
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Provider Name | VASANTHI KONAKANCHI APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 10/05/2025
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Provider Practice Location Address
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Address Line | 4300 PUNJAB WAY STE 160
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City | FRISCO
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State | TX
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Zip | 75033-0382
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Country | US
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Telephone | 469-649-9968
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Fax |
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Provider Business Mailing Address
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Address Line | 131 BELLA VIS
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City | SHENANDOAH
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State | TX
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Zip | 77381-5013
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Country | US
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Telephone | 832-326-0102
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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 | 1138919
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 807091
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License Number State | TX
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