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General NPI Number Information
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NPI Number | 1134097686
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Entity Type | Individual
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Provider Name | DACIA ANNA FERNANDEZ APRN
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Gender | Female
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 2280 GULF FWY S
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City | LEAGUE CITY
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State | TX
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Zip | 77573-5143
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Country | US
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Telephone | 713-563-0670
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Fax | 713-834-6641
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Provider Business Mailing Address
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Address Line | 2280 GULF FWY S
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City | LEAGUE CITY
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State | TX
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Zip | 77573-5143
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Country | US
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Telephone | 713-834-6647
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1194976
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License Number State | TX
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