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General NPI Number Information
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NPI Number | 1265040844
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Entity Type | Individual
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Provider Name | ASHLEY MENDOZA FNP
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Gender | Female
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 8401 DATAPOINT DR STE 300
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5925
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Country | US
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Telephone | 210-348-4040
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Fax |
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Provider Business Mailing Address
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Address Line | 11806 PLOVER PL
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City | SAN ANTONIO
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State | TX
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Zip | 78221-4457
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Country | US
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Telephone | 210-269-6142
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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 | AP144740
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License Number State | TX
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