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General NPI Number Information
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NPI Number | 1851265086
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Entity Type | Organization
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Legal Business Name | MY NP LLC
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 9000 TESORO DR STE 105
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City | SAN ANTONIO
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State | TX
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Zip | 78217-6100
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Country | US
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Telephone | 210-941-6967
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Fax |
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Provider Business Mailing Address
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Address Line | 2186 JACKSON KELLER RD # 3015
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City | SAN ANTONIO
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State | TX
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Zip | 78213-2723
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Country | US
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Telephone | 210-941-6967
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY LONDON
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Credential | FNP
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Telephone | 210-941-6967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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