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General NPI Number Information
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NPI Number | 1699200337
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Entity Type | Individual
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Provider Name | JOSE S PERALES JR. APRN, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8901 N 2ND ST
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City | MCALLEN
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State | TX
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Zip | 78504-1967
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Country | US
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Telephone | 956-483-7600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 720085
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City | MCALLEN
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State | TX
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Zip | 78504-0085
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Country | US
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Telephone | 956-483-7600
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP133897
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License Number State | TX
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