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General NPI Number Information
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NPI Number | 1073816971
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Entity Type | Individual
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Provider Name | ALEXANDRA NICOLE BARRAZA PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/15/2010
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 555 S INTERNATIONAL BLVD # B-100
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City | WESLACO
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State | TX
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Zip | 78596-9116
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Country | US
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Telephone | 956-983-9272
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Fax |
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Provider Business Mailing Address
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Address Line | 555 S INTERNATIONAL BLVD # B-100
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City | WESLACO
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State | TX
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Zip | 78596-9116
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Country | US
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Telephone | 956-357-7238
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 34947
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA13534
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License Number State | TX
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