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General NPI Number Information
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NPI Number | 1043039332
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Entity Type | Individual
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Provider Name | ERIK DELVALLE NURSE LPN
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Gender | Male
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Dates
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Enumeration Date | 10/04/2024
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 9939 HIGHWAY 151
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City | SAN ANTONIO
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State | TX
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Zip | 78251-1900
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Country | US
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Telephone | 210-617-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 11403 GARDEN FLS
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City | SAN ANTONIO
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State | TX
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Zip | 78245-4612
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Country | US
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Telephone | 726-800-9919
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 27038425A
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License Number State | IN
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