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General NPI Number Information
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NPI Number | 1194209817
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Entity Type | Individual
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Provider Name | LINDA I VALDEZ FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 09/18/2018
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Provider Practice Location Address
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Address Line | 300 EL RANCHO WAY
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City | DILLEY
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State | TX
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Zip | 78017-4200
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Country | US
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Telephone | 830-378-6679
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Fax |
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Provider Business Mailing Address
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Address Line | 11340 TOP HAT
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City | SAN ANTONIO
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State | TX
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Zip | 78245-4678
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Country | US
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Telephone | 325-212-6574
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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 | F06182629
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License Number State | TX
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