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General NPI Number Information
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NPI Number | 1336868462
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Entity Type | Individual
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Provider Name | REBECCA SOLIS POLANCO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 6326 SOVEREIGN ST STE 160
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5177
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Country | US
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Telephone | 210-934-7017
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Fax |
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Provider Business Mailing Address
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Address Line | 6326 SOVEREIGN ST STE 160
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5177
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Country | US
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Telephone | 726-208-7900
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Fax | 726-208-2200
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP139571
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License Number State | TX
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