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General NPI Number Information
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NPI Number | 1932927340
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Entity Type | Individual
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Provider Name | GERALDO LUIS TOSADO JIMENEZ NP
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Gender | Male
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 2130 W HOLCOMBE BLVD FL 10
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City | HOUSTON
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State | TX
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Zip | 77030-3306
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Country | US
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Telephone | 713-600-0900
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Fax | 713-600-0070
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Provider Business Mailing Address
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Address Line | PO BOX 749495
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City | ATLANTA
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State | GA
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Zip | 30374-9495
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Country | US
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Telephone | 855-963-2100
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Fax | 813-321-1296
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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 | 1078233
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License Number State | TX
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