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General NPI Number Information
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NPI Number | 1073408563
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Entity Type | Individual
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Provider Name | DAVID GRANDA CARPIO FNP-C, ENP, RN
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Gender | Male
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 12141 RICHMOND AVE
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City | HOUSTON
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State | TX
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Zip | 77082-2408
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Country | US
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Telephone | 281-558-3444
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Fax |
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Provider Business Mailing Address
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Address Line | 10 HUGHES RD
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City | SOMERSET
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State | NJ
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Zip | 08873-2249
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Country | US
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Telephone | 505-620-3346
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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 | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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