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General NPI Number Information
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NPI Number | 1083845218
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Entity Type | Individual
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Provider Name | STEPHANIE ALISA ZAMORA FNP
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Gender | Female
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Dates
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Enumeration Date | 08/05/2009
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 135 OYSTER CREEK DR STE S
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City | LAKE JACKSON
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State | TX
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Zip | 77566-4117
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Country | US
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Telephone | 979-297-3387
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Fax | 877-467-5216
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Provider Business Mailing Address
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Address Line | 135 OYSTER CREEK DR STE S
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City | LAKE JACKSON
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State | TX
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Zip | 77566-4117
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Country | US
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Telephone | 979-297-3387
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Fax | 877-467-5216
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP114032
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License Number State | TX
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