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General NPI Number Information
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NPI Number | 1417656158
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Entity Type | Individual
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Provider Name | LIJI THOMAS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 5600 S VETERANS BLVD SUITE C
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City | EDINBURG
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State | TX
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Zip | 78542
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Country | US
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Telephone | 956-450-2625
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Fax |
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Provider Business Mailing Address
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Address Line | 14334 N ROOTH RD
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City | EDINBURG
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State | TX
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Zip | 78541-4343
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Country | US
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Telephone | 956-270-1650
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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 | 1111712
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License Number State | TX
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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 | 1111712
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License Number State | TX
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