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General NPI Number Information
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NPI Number | 1407043300
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Entity Type | Individual
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Provider Name | MARIA ADELINA FRISBIE-VEAL RN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 05/04/2017
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Provider Practice Location Address
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Address Line | 103 LIVINGSTON LOOP BLDG B STE 4
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City | SANTA TERESA
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State | NM
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Zip | 88008-9747
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Country | US
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Telephone | 575-332-4271
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Fax | 866-232-9241
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Provider Business Mailing Address
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Address Line | PO BOX 1063
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City | SANTA TERESA
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State | NM
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Zip | 88008-1063
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Country | US
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Telephone | 575-332-4271
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Fax | 866-232-9241
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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 | 658423
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License Number State | TX
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