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General NPI Number Information
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NPI Number | 1902431232
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Entity Type | Individual
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Provider Name | JAKELYN ESMERALDA ALFARO NP
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Gender | Female
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Dates
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Enumeration Date | 03/06/2020
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 3420 WOODRRIDGE DR.
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City | HOUSTON
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State | TN
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Zip | 77087
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Country | US
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Telephone | 713-923-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 12611 VERDANT BROOK DR
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City | HOUSTON
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State | TX
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Zip | 77085-1435
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Country | US
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Telephone | 832-901-5370
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | AP144832
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP144832
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License Number State | TX
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