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General NPI Number Information
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NPI Number | 1184336232
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Entity Type | Individual
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Provider Name | SAMANTHA NICOLE SALDIVAR MSN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/20/2022
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Last Update Date | 02/01/2023
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Provider Practice Location Address
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Address Line | 1200 E SAVANNAH AVE STE 12
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City | MCALLEN
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State | TX
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Zip | 78503-1728
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Country | US
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Telephone | 956-688-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 429 HAPPY VALLEY DR
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City | EDINBURG
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State | TX
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Zip | 78539-6410
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Country | US
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Telephone | 956-207-9798
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1094958
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License Number State | TX
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