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General NPI Number Information
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NPI Number | 1306385992
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Entity Type | Individual
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Provider Name | JOSUE NUNEZ PA-C
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Gender | Male
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 3341 UNICORN LAKE BLVD
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City | DENTON
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State | TX
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Zip | 76210-0102
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Country | US
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Telephone | 469-800-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 237 SAMUEL ST
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City | LEWISVILLE
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State | TX
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Zip | 75057-3839
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Country | US
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Telephone | 972-900-8886
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State | TX
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