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General NPI Number Information
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NPI Number | 1932923158
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Entity Type | Individual
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Provider Name | LIZZIE SORA WERT AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 8220 WALNUT HILL LN STE 600
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City | DALLAS
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State | TX
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Zip | 75231-4433
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Country | US
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Telephone | 214-238-3074
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Fax |
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Provider Business Mailing Address
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Address Line | 617 FOREST BEND DR
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City | PLANO
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State | TX
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Zip | 75025-6104
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Country | US
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Telephone | 915-355-4224
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1152795
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License Number State | TX
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