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General NPI Number Information
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NPI Number | 1861689879
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Entity Type | Individual
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Provider Name | LUCY T LEDESMA APRN
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Gender | Female
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 07/17/2015
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Provider Practice Location Address
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Address Line | 500 E RIDGE RD SUITE 300
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City | MCALLEN
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State | TX
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Zip | 78503-1506
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Country | US
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Telephone | 956-630-5522
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Fax | 956-926-4352
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Provider Business Mailing Address
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Address Line | PO BOX 844575
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City | DALLAS
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State | TX
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Zip | 75284-4575
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Country | US
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Telephone | 956-630-5522
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Fax | 956-926-4352
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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 | AP111795
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 513804
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License Number State | TX
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