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General NPI Number Information
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NPI Number | 1225578099
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Entity Type | Individual
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Provider Name | AKILA AZIZ
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Gender | Female
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Dates
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Enumeration Date | 02/27/2017
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Last Update Date | 05/15/2019
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Provider Practice Location Address
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Address Line | 6520 N PRESIDENT GEORGE BUSH HWY
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City | GARLAND
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State | TX
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Zip | 75044-3925
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Country | US
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Telephone | 972-532-9967
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Fax |
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Provider Business Mailing Address
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Address Line | 14100 SAN PEDRO AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78232-4361
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Country | US
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Telephone | 210-543-7334
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 132687
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License Number State | TX
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