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General NPI Number Information
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NPI Number | 1861262404
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Entity Type | Individual
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Provider Name | CELESTE DESIREE JARRETT NP
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Gender | Female
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 1713 SW H K DODGEN LOOP STE 100
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City | TEMPLE
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State | TX
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Zip | 76502-1836
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Country | US
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Telephone | 254-771-8100
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Fax | 254-771-8101
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-4658
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Country | US
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Telephone | 254-724-2111
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 1142337
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 77027
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License Number State | NM
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