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General NPI Number Information
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NPI Number | 1316286776
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Entity Type | Individual
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Provider Name | STEPHEN W RASCO ARNP
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Gender | Male
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 13909 NACOGDOCHES RD STE 111
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City | SAN ANTONIO
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State | TX
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Zip | 78217-1296
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Country | US
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Telephone | 210-655-0100
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Fax |
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Provider Business Mailing Address
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Address Line | 6594 AVENIDA DE GALVEZ
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City | NAVARRE
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State | FL
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Zip | 32566-8916
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Country | US
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Telephone | 256-338-0442
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9386243
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 22058
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP142306
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License Number State | TX
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