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General NPI Number Information
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NPI Number | 1265172647
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Entity Type | Individual
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Provider Name | VICTORIA LOPEZ APRN
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Gender | Female
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Dates
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Enumeration Date | 03/31/2022
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 13154 COIT RD
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City | DALLAS
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State | TX
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Zip | 75240-5773
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Country | US
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Telephone | 469-726-2287
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Fax |
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Provider Business Mailing Address
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Address Line | 9202 LOBELIA MANOR DR
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City | SPRING
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State | TX
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Zip | 77379-3746
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Country | US
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Telephone | 281-814-5340
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 880073
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1141080
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License Number State | TX
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