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General NPI Number Information
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NPI Number | 1851879761
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Entity Type | Individual
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Provider Name | LORETTA WALL DNP
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Gender | Female
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Dates
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Enumeration Date | 08/02/2018
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 8350 N CENTRAL EXPY STE 1900
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City | DALLAS
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State | TX
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Zip | 75206-1604
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Country | US
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Telephone | 469-942-9483
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Fax | 469-930-2597
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Provider Business Mailing Address
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Address Line | PO BOX 1063
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City | MANSFIELD
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State | TX
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Zip | 76063-0159
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Country | US
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Telephone | 817-247-0034
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Fax | 469-942-9483
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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 | AP137936
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License Number State | TX
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