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General NPI Number Information
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NPI Number | 1992588958
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Entity Type | Individual
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Provider Name | TASHA LYNN ALBUS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/15/2023
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 125 DAVIS BLVD
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City | SOUTHLAKE
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State | TX
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Zip | 76092-8209
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Country | US
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Telephone | 682-688-3094
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Fax |
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Provider Business Mailing Address
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Address Line | 1315 CHASE OAKS DR
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City | KELLER
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State | TX
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Zip | 76248-8297
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Country | US
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Telephone | 785-393-1995
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1131344
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License Number State | TX
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