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General NPI Number Information
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NPI Number | 1770198616
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Entity Type | Individual
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Provider Name | KATHERINE LEANG VILLARREAL CPNP
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Gender | Female
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Dates
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Enumeration Date | 09/08/2020
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 1314 GUADALUPE ST STE 107
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City | SAN ANTONIO
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State | TX
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Zip | 78207-5582
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Country | US
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Telephone | 210-223-3543
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Fax | 210-924-1374
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Provider Business Mailing Address
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Address Line | 3750 COMMERCIAL AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78221-3117
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Country | US
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Telephone | 210-922-7000
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Fax | 210-227-0282
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1010494
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License Number State | TX
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