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General NPI Number Information
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NPI Number | 1982666251
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Entity Type | Individual
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Provider Name | MARIA THERESA SUREL NP
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Gender | Female
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 01/05/2015
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Provider Practice Location Address
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Address Line | 1815 N HAMPTON RD
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City | DESOTO
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State | TX
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Zip | 75115-2327
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Country | US
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Telephone | 972-709-2828
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Fax | 972-223-3132
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Provider Business Mailing Address
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Address Line | 702 MILLPOND DR
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City | ARLINGTON
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State | TX
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Zip | 76002-3080
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Country | US
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Telephone | 214-385-1728
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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 | 608769
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License Number State | TX
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