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General NPI Number Information
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NPI Number | 1669117271
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Entity Type | Individual
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Provider Name | BRENDA-YARELY GOMEZ GARZA AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/28/2022
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 101 E RIDGE RD
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City | MCALLEN
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State | TX
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Zip | 78503-1847
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Country | US
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Telephone | 956-632-6000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2458
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City | MISSION
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State | TX
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Zip | 78573-0041
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Country | US
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Telephone | 956-320-7058
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1072907
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1072907
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1072907
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License Number State | TX
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