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General NPI Number Information
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NPI Number | 1477274181
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Entity Type | Organization
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Legal Business Name | CMJ HANDS ON MEDICINE LLC
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Dates
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Enumeration Date | 09/09/2022
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 4100 SAN BERNARDO AVE STE A-6
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City | LAREDO
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State | TX
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Zip | 78041-4445
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Country | US
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Telephone | 956-602-9986
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Fax | 956-443-3436
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Provider Business Mailing Address
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Address Line | 15 VENTURA ST
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City | LAREDO
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State | TX
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Zip | 78040-7346
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Country | US
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Telephone | 956-602-9986
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Fax | 956-443-3436
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Authorized Official
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Title or Position | OWNER/ FAMILY NURSE PRACTITIONER
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Name | MR. JOSE HILARIO GARCIA
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Credential | FNP
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Telephone | 956-602-9986
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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 |
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License Number State |
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