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General NPI Number Information
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NPI Number | 1205981941
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Entity Type | Individual
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Provider Name | FLORICA PANTEA NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 06/03/2016
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Provider Practice Location Address
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Address Line | 2425 BABCOCK RD STE 108
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4899
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Country | US
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Telephone | 210-616-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 2425 BABCOCK RD STE 108
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4899
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Country | US
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Telephone | 210-616-9400
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F304490
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | F340651
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License Number State | NY
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