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General NPI Number Information
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NPI Number | 1902027386
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Entity Type | Individual
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Provider Name | TRUETT BARRON CLIFTON WHNP
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 02/24/2021
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Provider Practice Location Address
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Address Line | 11111 RESEARCH BLVD STE 230
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City | AUSTIN
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State | TX
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Zip | 78759-5791
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Country | US
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Telephone | 877-800-5722
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Fax | 512-605-6396
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Provider Business Mailing Address
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Address Line | 205 E UNIVERSITY AVE STE 200
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City | GEORGETOWN
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State | TX
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Zip | 78626-6821
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Country | US
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Telephone | 877-800-5722
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Fax | 512-869-2940
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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 | 446861
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License Number State | TX
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