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General NPI Number Information
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NPI Number | 1023791365
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Entity Type | Individual
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Provider Name | ABIGAIL CHRISTINE LIRA AGPCNP
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Gender | Female
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 1801 N BEDELL AVE
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City | DEL RIO
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State | TX
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Zip | 78840-8001
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Country | US
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Telephone | 830-768-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 403 E MORIN ST
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City | DEL RIO
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State | TX
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Zip | 78840-7223
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Country | US
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Telephone | 830-719-6962
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 1130527
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License Number State | TX
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