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General NPI Number Information
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NPI Number | 1215063227
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Entity Type | Individual
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Provider Name | VIKKI LARAE PRESAS WHNP
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 4970 NORTH EXPRESSWAY 77 SUITE B
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City | BROWNSVILLE
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State | TX
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Zip | 78526
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Country | US
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Telephone | 956-350-8788
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Fax | 956-350-0009
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Provider Business Mailing Address
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Address Line | 95 E PRICE RD BLDG A
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City | BROWNSVILLE
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State | TX
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Zip | 78521-3531
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Country | US
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Telephone | 956-350-8788
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Fax | 956-350-0009
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 163WW0101X
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License Number State | TX
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