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General NPI Number Information
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NPI Number | 1659660280
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Entity Type | Individual
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Provider Name | RAMONA DAVILA GARICA RN-CPNP
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Gender | Female
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 305 E 3RD ST
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City | ALICE
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State | TX
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Zip | 78332-4705
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Country | US
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Telephone | 361-664-5291
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Fax | 361-668-1630
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Provider Business Mailing Address
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Address Line | 305 EAST THIRD STREET
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City | ALICE
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State | TX
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Zip | 78332
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Country | US
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Telephone | 361-664-5291
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Fax | 361-668-1630
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 428907
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License Number State | TX
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