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General NPI Number Information
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NPI Number | 1861026528
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Entity Type | Individual
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Provider Name | RANDA B ANDERSON APRN, ACNPC-AG
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Gender | Female
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Dates
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Enumeration Date | 03/02/2020
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 1441 N BECKLEY AVE
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City | DALLAS
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State | TX
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Zip | 75203-1201
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Country | US
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Telephone | 214-947-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 5605 N MACARTHUR BLVD STE 740
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City | IRVING
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State | TX
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Zip | 75038-2626
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Country | US
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Telephone | 214-960-5681
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Fax | 214-960-5681
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 313831
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN11034663
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4026692
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AR219351
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License Number State | AR
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Taxonomy #5
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1005504
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1005504
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License Number State | TX
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