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General NPI Number Information
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NPI Number | 1770028573
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Entity Type | Individual
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Provider Name | JOSEPH J NOVACK II FNP-C
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Gender | Male
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Dates
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Enumeration Date | 01/03/2017
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 6051 FM 3009 STE 210
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City | SCHERTZ
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State | TX
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Zip | 78154-3473
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Country | US
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Telephone | 210-299-7770
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Fax | 833-502-1747
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Provider Business Mailing Address
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Address Line | 117 E CASTLE LN
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City | SAN ANTONIO
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State | TX
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Zip | 78213-1802
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Country | US
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Telephone | 210-488-8737
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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 | AP132831
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License Number State | TX
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