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General NPI Number Information
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NPI Number | 1679395982
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Entity Type | Organization
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Legal Business Name | THOMAS A DIETZ NP PLLC
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 2828 LOTUS PARK
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City | SCHERTZ
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State | TX
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Zip | 78154-3740
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Country | US
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Telephone | 210-239-3009
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Fax | 210-405-9994
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Provider Business Mailing Address
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Address Line | PO BOX 360
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City | SCHERTZ
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State | TX
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Zip | 78154-0360
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Country | US
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Telephone | 210-239-3009
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Fax | 210-405-9994
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | THOMAS A DIETZ
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Credential | PMHNP-BC
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Telephone | 210-239-3009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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