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General NPI Number Information
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NPI Number | 1538368535
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Entity Type | Individual
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Provider Name | JANELLE M BLOCK NP
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Gender | Female
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 05/19/2020
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Provider Practice Location Address
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Address Line | 411 S KING ST
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City | SEGUIN
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State | TX
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Zip | 78155
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Country | US
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Telephone | 830-609-9478
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Fax | 830-433-9089
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Provider Business Mailing Address
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Address Line | 8217 SHOAL CREEK BLVD STE 205
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City | AUSTIN
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State | TX
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Zip | 78757-7664
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Country | US
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Telephone | 512-485-7208
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Fax | 844-964-8678
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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 | AP122375
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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 | 3076-033
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License Number State | WI
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