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General NPI Number Information
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NPI Number | 1144929316
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Entity Type | Individual
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Provider Name | DENISSE ELIZABETH MEZA
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Gender | Female
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 239 STARK
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City | SAN ANTONIO
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State | TX
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Zip | 78204-1648
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Country | US
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Telephone | 956-285-4054
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Fax |
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Provider Business Mailing Address
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Address Line | 735 FREDERICKSBURG RD
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City | SAN ANTONIO
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State | TX
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Zip | 78201-6348
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Country | US
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Telephone | 210-734-4500
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 118707
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License Number State | TX
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