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NPI 1720566235

NPI 1720566235 : JOSEPHINE ROSE SALAZAR AGNP-BC : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1720566235
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPHINE ROSE SALAZAR AGNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/06/2018
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    Last Update Date     |    07/12/2022
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Provider Practice Location Address
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    Address Line         |    5282 MEDICAL DR STE 500 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78229-6071
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    Country              |    US
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    Telephone            |    210-526-4784
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    Fax                  |    210-615-7778
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Provider Business Mailing Address
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    Address Line         |    15212 SELENE VW 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78245-4666
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    Country              |    US
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    Telephone            |    210-268-8552
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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        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    AP138154
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    163WU0100X
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    Taxonomy Name        |    Urology Registered Nurse
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    License Number       |    799378
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    208800000X
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    Taxonomy Name        |    Urology Physician
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    License Number       |    AP138154
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    AP138154
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    License Number State |    TX
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Taxonomy #5
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    AP138154
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    License Number State |    TX
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Taxonomy #6
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    Taxonomy Code        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    AP138154
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    License Number State |    TX
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