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General NPI Number Information
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NPI Number | 1942748678
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Entity Type | Individual
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Provider Name | JASON PICKNEY FNP-C
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Gender | Male
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Dates
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Enumeration Date | 02/01/2017
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 1011 N GALLOWAY AVE
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City | MESQUITE
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State | TX
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Zip | 75149-2433
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Country | US
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Telephone | 972-698-2371
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Fax | 972-329-1085
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Provider Business Mailing Address
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Address Line | PO BOX 661253
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City | DALLAS
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State | TX
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Zip | 75266-1253
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Country | US
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Telephone | 972-698-2371
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Fax | 972-329-1085
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP1330212
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP1330212
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License Number State | TX
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