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General NPI Number Information
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NPI Number | 1629916796
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Entity Type | Individual
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Provider Name | WENDY CARRERA
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Gender |
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 9740 DYER ST
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City | EL PASO
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State | TX
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Zip | 79924-4752
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Country | US
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Telephone | 915-500-5030
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Fax |
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Provider Business Mailing Address
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Address Line | 8906 ELECTRA ST
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City | CANUTILLO
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State | TX
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Zip | 79835-9505
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Country | US
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Telephone | 915-314-9741
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1227733
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License Number State | TX
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