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General NPI Number Information
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NPI Number | 1508365479
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Entity Type | Individual
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Provider Name | CRISELA ANNETTE PATE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/06/2018
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 5121 S MCCOLL RD
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City | EDINBURG
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State | TX
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Zip | 78539-8278
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Country | US
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Telephone | 956-362-6730
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4624
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City | MCALLEN
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State | TX
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Zip | 78502-4624
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Country | US
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Telephone | 956-362-6730
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Fax | 956-362-6745
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP136413
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP136413
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License Number State | TX
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