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General NPI Number Information
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NPI Number | 1295397594
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Entity Type | Individual
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Provider Name | LETICIA Q MUNOZ
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Gender | Female
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Dates
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Enumeration Date | 07/08/2019
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Last Update Date | 07/08/2019
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Provider Practice Location Address
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Address Line | 2461 HIGHWAY 59 E 3408 FM 673
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City | BEEVILLE
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State | TX
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Zip | 78102-7810
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Country | US
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Telephone | 361-318-8560
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1693
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City | BEEVILLE
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State | TX
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Zip | 78104-1693
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Country | US
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Telephone | 361-318-8560
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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