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General NPI Number Information
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NPI Number | 1043103690
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Entity Type | Individual
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Provider Name | GLORIA T MESTER LVN
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Gender |
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 6938 WALZEM RD
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City | SAN ANTONIO
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State | TX
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Zip | 78239-3641
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Country | US
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Telephone | 210-969-7400
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Fax | 210-590-1054
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Provider Business Mailing Address
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Address Line | 4315 ROTHBERGER WAY
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City | SAN ANTONIO
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State | TX
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Zip | 78244-3542
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Country | US
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Telephone | 808-397-4542
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 84026
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License Number State | TX
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