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General NPI Number Information
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NPI Number | 1902606569
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Entity Type | Individual
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Provider Name | NEQUITA LATASHA DENORA RAGAS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 3680 ROBINWOOD RD
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City | GASTONIA
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State | NC
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Zip | 28054-1676
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Country | US
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Telephone | 704-869-9701
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Fax | 704-853-2704
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Provider Business Mailing Address
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Address Line | 314 PLEASANT HILL WAY
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City | CONROE
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State | TX
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Zip | 77304-3134
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Country | US
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Telephone | 253-389-7904
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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 | 5022158
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License Number State | NC
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