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General NPI Number Information
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NPI Number | 1144568957
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Entity Type | Individual
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Provider Name | JULIO CESAR BRAVO FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 01/29/2013
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 3906 N INSPIRATION RD
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City | MISSION
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State | TX
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Zip | 78573-9105
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Country | US
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Telephone | 956-600-8166
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Fax | 956-600-8755
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Provider Business Mailing Address
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Address Line | PO BOX 5055
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City | MISSION
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State | TX
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Zip | 78573-0086
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Country | US
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Telephone | 956-600-8166
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Fax | 956-600-8755
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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 | 751348
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License Number State | TX
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