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General NPI Number Information
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NPI Number | 1700936929
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Entity Type | Individual
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Provider Name | OFELIA MUNOZ THOMAS
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | HEIDELBERG MEDDAC CMR 442
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City | APO
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State | AE
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Zip | 09042
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Country | DE
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Telephone | 622-117-2846
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Fax |
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Provider Business Mailing Address
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Address Line | ATTN CREDENTIALS OFFICE CMR 442
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City | APO
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State | AE
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Zip | 09042
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Country | DE
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Telephone | 622-117-2274
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 210232
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License Number State | LA
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