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General NPI Number Information
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NPI Number | 1043068216
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Entity Type | Individual
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Provider Name | DANIELLE BAET NOLASCO NP
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Gender | Female
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Dates
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Enumeration Date | 05/10/2024
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 7402 JOHN SMITH DR STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4588
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Country | US
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Telephone | 210-817-4848
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Fax |
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Provider Business Mailing Address
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Address Line | 3835 MAHOGANY CV
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City | SAN ANTONIO
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State | TX
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Zip | 78261-2739
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Country | US
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Telephone | 210-489-0984
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1180638
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 860610
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License Number State | TX
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