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General NPI Number Information
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NPI Number | 1013246834
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Entity Type | Individual
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Provider Name | JOSEPH P TISCANI DNP, FNP, NP
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Gender | Male
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Dates
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Enumeration Date | 12/08/2009
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 4118 POND HILL RD STE 300
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City | SHAVANO PARK
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State | TX
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Zip | 78231-1282
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Country | US
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Telephone | 210-494-3739
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Fax | 210-494-4508
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Provider Business Mailing Address
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Address Line | 18202 CRYSTAL RIDGE DR
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City | SAN ANTONIO
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State | TX
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Zip | 78259-3613
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Country | US
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Telephone | 210-393-1061
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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 | 722575
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License Number State | TX
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