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General NPI Number Information
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NPI Number | 1962109322
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Entity Type | Individual
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Provider Name | AMAYRANY MAYA-MORA APRN
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Gender | Female
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Dates
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Enumeration Date | 02/15/2023
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 7050 EL ROY RD
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City | DEL VALLE
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State | TX
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Zip | 78617
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Country | US
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Telephone | 512-978-9760
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Fax | 512-901-9743
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Provider Business Mailing Address
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Address Line | 209 ANDOVER LN
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City | UHLAND
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State | TX
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Zip | 78640-2871
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1107770
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License Number State | TX
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