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General NPI Number Information
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NPI Number | 1962974550
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Entity Type | Organization
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Legal Business Name | DR. MANDY COTTEN FNP-C, P.A.
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Dates
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Enumeration Date | 12/20/2018
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 4224 PARK SPRINGS BLVD STE 100
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City | ARLINGTON
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State | TX
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Zip | 76016-4729
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Country | US
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Telephone | 817-467-7474
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Fax | 817-468-8643
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Provider Business Mailing Address
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Address Line | 4224 PARK SPRINGS BLVD STE 100
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City | ARLINGTON
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State | TX
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Zip | 76016-4729
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Country | US
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Telephone | 817-467-7474
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Fax | 817-468-8643
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Authorized Official
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Title or Position | OWNER
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Name | DR. MANDY BETH COTTEN
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Credential | FNP-C
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Telephone | 817-467-7474
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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 |
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License Number State |
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