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General NPI Number Information
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NPI Number | 1033591706
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF THE INCARNATE WORD
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 2547 E COMMERCE STREET
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City | SAN ANTONIO
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State | TX
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Zip | 78203-1907
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Country | US
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Telephone | 210-283-6331
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Fax |
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Provider Business Mailing Address
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Address Line | 4301 BROADWAY
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City | SAN ANTONIO
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State | TX
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Zip | 78209-6318
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Country | US
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Telephone | 210-283-6331
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Fax | 210-829-3174
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Authorized Official
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Title or Position | DIRECTOR
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Name | HOLLY ANN DILEO
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Credential | FNP-BC
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Telephone | 210-283-6331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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