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General NPI Number Information
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NPI Number | 1154141703
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Entity Type | Individual
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Provider Name | BRENDA LISETTE RIOS RNFA
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Gender | Female
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 4218 LOMA ROSADA DR
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City | EL PASO
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State | TX
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Zip | 79934-3771
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Country | US
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Telephone | 214-227-2457
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Fax | 214-764-0880
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Provider Business Mailing Address
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Address Line | 4218 LOMA ROSADA DR
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City | EL PASO
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State | TX
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Zip | 79934-3771
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Country | US
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Telephone | 214-227-2457
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Fax | 214-764-0880
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 852365
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License Number State | TX
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