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General NPI Number Information
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NPI Number | 1891439097
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Entity Type | Individual
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Provider Name | BRITTANY RAE TRAFICANTO NP
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Gender | Female
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Dates
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Enumeration Date | 04/24/2022
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Last Update Date | 04/24/2022
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Provider Practice Location Address
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Address Line | 6950 LEBANON RD STE 105
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City | FRISCO
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State | TX
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Zip | 75034-6997
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Country | US
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Telephone | 214-393-7284
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Fax |
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Provider Business Mailing Address
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Address Line | 3199 PAINTED LAKE CIR APT 304
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City | THE COLONY
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State | TX
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Zip | 75056-4910
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Country | US
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Telephone | 469-442-7036
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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 | 1064162
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License Number State | TX
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