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General NPI Number Information
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NPI Number | 1962035337
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Entity Type | Individual
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Provider Name | BOBBI EUGENIA DERAS NP
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Gender | Female
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Dates
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Enumeration Date | 02/13/2020
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 200 CORPORATE BLVD
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City | LAFAYETTE
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State | LA
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Zip | 70508-3870
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Country | US
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Telephone | 915-222-2668
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Fax |
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Provider Business Mailing Address
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Address Line | 4305 N MESA ST STE B
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City | EL PASO
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State | TX
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Zip | 79902-1124
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Country | US
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Telephone | 915-779-7378
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Fax | 915-779-2822
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 788601
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP145764
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License Number State | TX
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