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General NPI Number Information
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NPI Number | 1932341302
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Entity Type | Individual
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Provider Name | ANDREA L LOYD RN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/01/2009
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 711 TITUS ST
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City | GILMER
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State | TX
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Zip | 75644-1738
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Country | US
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Telephone | 903-841-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 21877 BLUEWATER RD
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City | CHANDLER
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State | TX
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Zip | 75758-8050
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Country | US
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Telephone | 903-360-4956
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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 | 683582
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License Number State | TX
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