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General NPI Number Information
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NPI Number | 1164907457
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Entity Type | Individual
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Provider Name | ERIC BRANDON PEREZ FNP-C
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Gender | Male
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 3100 RED RIVER ST STE 3
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City | AUSTIN
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State | TX
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Zip | 78705-3298
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Country | US
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Telephone | 512-467-0088
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Fax | 833-468-6475
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Provider Business Mailing Address
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Address Line | 40 N IH 35 APT 3B2
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City | AUSTIN
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State | TX
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Zip | 78701-4342
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Country | US
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Telephone | 512-773-1273
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | AP138226
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 858460
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP138226
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License Number State | TX
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