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General NPI Number Information
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NPI Number | 1881984029
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Entity Type | Individual
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Provider Name | CESAR MAESE FNP-C
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Gender | Male
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Dates
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Enumeration Date | 04/08/2011
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 1301 S COULTER ST SUITE 405
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City | AMARILLO
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State | TX
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Zip | 79106-1763
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Country | US
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Telephone | 806-358-9111
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Fax | 806-358-3728
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Provider Business Mailing Address
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Address Line | 1301 S COULTER ST SUITE 405
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City | AMARILLO
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State | TX
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Zip | 79106-1763
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Country | US
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Telephone | 806-358-9111
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Fax | 806-358-3728
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 742264
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP120174
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License Number State | TX
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