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General NPI Number Information
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NPI Number | 1649142795
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Entity Type | Individual
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Provider Name | ANGELICA NICOLE TAMEZ
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Gender | Female
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 12125 ALAMO RANCH PKWY
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City | SAN ANTONIO
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State | TX
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Zip | 78253-4334
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Country | US
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Telephone | 210-688-9584
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 CANYON RIM
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City | HELOTES
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State | TX
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Zip | 78023-4819
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Country | US
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Telephone | 210-688-9584
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 42760
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License Number State | TX
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