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General NPI Number Information
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NPI Number | 1851602122
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Entity Type | Individual
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Provider Name | JULIA ANN ATENCIO PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/01/2010
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 4243 E SOUTHCROSS BLVD STE 205
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City | SAN ANTONIO
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State | TX
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Zip | 78222-3727
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Country | US
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Telephone | 210-304-3500
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Fax | 210-337-2909
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Provider Business Mailing Address
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Address Line | 4243 E SOUTHCROSS BLVD STE 205
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City | SAN ANTONIO
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State | TX
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Zip | 78222-3727
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Country | US
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Telephone | 210-304-3500
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Fax | 210-337-2909
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA06788
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License Number State | TX
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