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General NPI Number Information
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NPI Number | 1972128510
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Entity Type | Individual
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Provider Name | MILLICENT ROSE PALACIOS DNP, APRN, CPNP
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Gender | Female
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Dates
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Enumeration Date | 06/09/2020
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 1915 E MAYFIELD RD STE 115
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City | ARLINGTON
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State | TX
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Zip | 76014-2605
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Country | US
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Telephone | 682-276-6700
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Fax | 682-276-6025
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Provider Business Mailing Address
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Address Line | 1915 E MAYFIELD RD STE 115
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City | ARLINGTON
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State | TX
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Zip | 76014-2605
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Country | US
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Telephone | 682-276-6700
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Fax | 682-276-6025
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 2019042361
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1033816
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License Number State | TX
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