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General NPI Number Information
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NPI Number | 1467819474
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Entity Type | Individual
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Provider Name | AMY R REGAS AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 06/23/2016
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Provider Practice Location Address
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Address Line | 21212 NORTHWEST FREEWAY 535
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City | CYPRESS
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State | TX
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Zip | 77429-5888
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Country | US
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Telephone | 281-912-6777
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Fax |
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Provider Business Mailing Address
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Address Line | 31185 WINDMILL LN
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City | BULVERDE
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State | TX
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Zip | 78163-5021
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Country | US
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Telephone | 512-699-3509
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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 | AP128793
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License Number State | TX
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