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General NPI Number Information
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NPI Number | 1184095648
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Entity Type | Individual
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Provider Name | CARMEN GRISELDA CEPEDA RN/BSN
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Gender | Female
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Dates
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Enumeration Date | 10/09/2015
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 6419 MCTHERSON ST SUITE I
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City | LAREDO
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State | TX
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Zip | 78041
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Country | US
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Telephone | 956-462-7446
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Fax |
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Provider Business Mailing Address
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Address Line | 6419 MCTHERSON ST SUITE I
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City | LAREDO
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State | TX
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Zip | 78041
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Country | US
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Telephone | 956-462-7446
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 653125
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License Number State | TX
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