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General NPI Number Information
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NPI Number | 1386245959
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Entity Type | Individual
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Provider Name | JERLYS SUAREZ LOPEZ FNP
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Gender | Male
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 3810 N. FRY , STE. 118
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City | KATY
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State | TX
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Zip | 77084
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Country | US
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Telephone | 832-321-4233
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Fax | 832-321-4310
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Provider Business Mailing Address
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Address Line | 3026 COACHMAKER TRL
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City | ROSENBERG
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State | TX
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Zip | 77471-1530
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Country | US
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Telephone | 832-996-6911
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1018120
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | PTL17863
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License Number State | CA
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