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General NPI Number Information
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NPI Number | 1952540197
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Entity Type | Individual
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Provider Name | EMILIA CORDERO ANP-C
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Gender | Female
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 2002 HOLCOMBE BLVD. MICHAEL E. DEBAKEY VA MEDICAL CENTER
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City | HOUSTON
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State | TX
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Zip | 77030-4298
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Country | US
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Telephone | 713-794-7230
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Fax | 713-794-7771
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Provider Business Mailing Address
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Address Line | 2002 HOLCOMBE BLVD. MICHAEL E. DEBAKEY VA MEDICAL CENTER
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City | HOUSTON
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State | TX
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Zip | 77030-4298
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Country | US
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Telephone | 713-794-7230
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Fax | 713-794-7771
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 502483
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License Number State | TX
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