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General NPI Number Information
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NPI Number | 1366042384
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Entity Type | Individual
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Provider Name | ROSA LAURA ESCAMILLA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 3150 SW MILITARY DR
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City | SAN ANTONIO
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State | TX
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Zip | 78224-1038
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Country | US
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Telephone | 210-932-0906
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Fax |
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Provider Business Mailing Address
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Address Line | 4906 SUNSET GLADE
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City | SAN ANTONIO
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State | TX
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Zip | 78240-5437
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Country | US
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Telephone | 210-854-3911
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 67115
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License Number State | TX
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