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General NPI Number Information
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NPI Number | 1174437917
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Entity Type | Individual
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Provider Name | REGINA LEAL APRN
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Gender | Female
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 2120 N MAYS ST STE 430
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City | ROUND ROCK
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State | TX
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Zip | 78664-2108
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Country | US
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Telephone | 877-800-5722
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Fax |
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Provider Business Mailing Address
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Address Line | 6300 WAGON SPRING ST
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City | DEL VALLE
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State | TX
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Zip | 78617-2038
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Country | US
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Telephone | 956-424-2775
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 1166510
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License Number State | TX
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