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General NPI Number Information
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NPI Number | 1518362094
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Entity Type | Individual
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Provider Name | CLAUDIA SAUCEDO AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/27/2014
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 10301 GATEWAY BLVD W
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City | EL PASO
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State | TX
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Zip | 79925-7701
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Country | US
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Telephone | 915-595-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 13178 WELLINGTON
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City | HORIZON CITY
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State | TX
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Zip | 79928-2203
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Country | US
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Telephone | 915-867-5809
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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 | 864840
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 2024028580
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License Number State | TX
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