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General NPI Number Information
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NPI Number | 1891583845
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Entity Type | Individual
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Provider Name | AILEEN HANIA LEGARDA NP
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Gender | Female
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 1900 ALDRICH ST STE 120
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City | AUSTIN
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State | TX
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Zip | 78723-3595
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Country | US
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Telephone | 512-900-1051
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Fax |
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Provider Business Mailing Address
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Address Line | 7709 BESTRIDE BND
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City | AUSTIN
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State | TX
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Zip | 78744-1500
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Country | US
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Telephone | 915-328-5125
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1196116
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License Number State | TX
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