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General NPI Number Information
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NPI Number | 1902536659
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Entity Type | Individual
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Provider Name | SUNITA MONROE
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Gender | Female
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 5200 S W S YOUNG DR
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City | KILLEEN
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State | TX
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Zip | 76542-3381
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Country | US
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Telephone | 210-315-8685
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Fax |
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Provider Business Mailing Address
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Address Line | 6502 FONTANA PT
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City | SAN ANTONIO
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State | TX
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Zip | 78240-3071
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Country | US
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Telephone | 210-315-8685
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1058765
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License Number State | TX
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