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General NPI Number Information
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NPI Number | 1528693520
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Entity Type | Individual
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Provider Name | PERLA LOPEZ SILVIS PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/10/2020
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 14100 SAN PEDRO AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78232-4361
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Country | US
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Telephone | 210-405-3008
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Fax |
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Provider Business Mailing Address
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Address Line | 14100 SAN PEDRO AVE STE 501
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City | SAN ANTONIO
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State | TX
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Zip | 78232-4363
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Country | US
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Telephone | 210-405-3008
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Fax | 210-512-9583
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | PA17392
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 57672
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9292
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA17392
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License Number State | TX
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