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General NPI Number Information
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NPI Number | 1144923665
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Entity Type | Organization
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Legal Business Name | MEDICAL OUTPOST PLLC
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Dates
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Enumeration Date | 03/23/2023
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 1415 E BLANCO RD STE 108
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City | BOERNE
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State | TX
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Zip | 78006-1886
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Country | US
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Telephone | 210-452-0065
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Fax | 210-871-1535
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Provider Business Mailing Address
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Address Line | 24165 IH 10 W STE 217-154
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City | SAN ANTONIO
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State | TX
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Zip | 78257-1449
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER, MEMBER
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Name | MS. VALERIE MARIE SANCHEZ
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Credential | APRN, FNP-C
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Telephone | 210-315-3869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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