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General NPI Number Information
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NPI Number | 1194531681
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Entity Type | Individual
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Provider Name | PENELOPE LABOY AGACNP
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Gender | Female
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 12446 WEST AVE STE 200
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City | SAN ANTONIO
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State | TX
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Zip | 78216-2530
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Country | US
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Telephone | 210-729-2262
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Fax | 210-729-7290
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Provider Business Mailing Address
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Address Line | 3418 MARTESIA
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City | SAN ANTONIO
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State | TX
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Zip | 78259-2131
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Country | US
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Telephone | 210-478-2234
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1180623
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License Number State | TX
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