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General NPI Number Information
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NPI Number | 1770351744
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Entity Type | Individual
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Provider Name | PURAALMA DINGAL LABIS FNP
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Gender | Female
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Dates
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Enumeration Date | 12/19/2023
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 3011 W LOOP 1604 N STE 102
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City | SAN ANTONIO
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State | TX
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Zip | 78251-3963
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Country | US
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Telephone | 210-681-6176
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Fax | 210-681-6157
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Provider Business Mailing Address
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Address Line | 20503 CREEK RIV
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City | SAN ANTONIO
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State | TX
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Zip | 78259-2083
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Country | US
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Telephone | 410-537-0261
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1114793
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License Number State | TX
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