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General NPI Number Information
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NPI Number | 1740789437
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Entity Type | Individual
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Provider Name | SANDRA YVETTE SIMPSON APRN
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Gender | Female
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Dates
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Enumeration Date | 02/07/2018
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Last Update Date | 10/18/2019
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Provider Practice Location Address
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Address Line | 3201 CHERRY RIDGE ST STE 205B
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City | SAN ANTONIO
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State | TX
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Zip | 78230
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Country | US
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Telephone | 210-375-5914
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Fax | 210-375-5914
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Provider Business Mailing Address
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Address Line | 3201 CHERRY RIDGE ST STE 205B
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City | SAN ANTONIO
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State | TX
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Zip | 78230-4832
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Country | US
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Telephone | 210-375-5914
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Fax | 210-375-5914
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP136505
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP136505
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License Number State | TX
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