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General NPI Number Information
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NPI Number | 1437986569
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Entity Type | Individual
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Provider Name | LEISH MARIE CASTRO VELEZ BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 09/13/2024
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 3600 MEMORIAL BLVD
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City | KERRVILLE
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State | TX
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Zip | 78028-5819
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Country | US
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Telephone | 830-896-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 823 N CREEK RD UNIT 11
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City | COMFORT
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State | TX
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Zip | 78013-2338
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Country | US
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Telephone | 787-246-2166
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 91633
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License Number State | PR
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