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General NPI Number Information
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NPI Number | 1427646116
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Entity Type | Individual
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Provider Name | NELSON NUNEZ PA
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Gender | Male
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 200 WESTPARK WAY
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City | EULESS
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State | TX
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Zip | 76040-3963
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Country | US
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Telephone | 817-488-8998
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Fax | 855-295-2686
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Provider Business Mailing Address
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Address Line | PO BOX 1364
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City | SOUTH GATE
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State | CA
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Zip | 90280-1364
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Country | US
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Telephone | 323-564-5579
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | PA19277
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA19277
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 60737
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License Number State | CA
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