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General NPI Number Information
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NPI Number | 1982348090
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Entity Type | Individual
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Provider Name | FABIANA SILVA LOPES MD
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Gender | Female
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Dates
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Enumeration Date | 04/25/2022
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 1701 TRINITY ST BLDG STOP
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City | AUSTIN
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State | TX
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Zip | 78712-1869
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Country | US
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Telephone | 318-794-6563
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Fax |
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Provider Business Mailing Address
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Address Line | DELL MEDICAL SCHOOL AT THE UNIVERSITY OF TEXAS GME OFFICE 1501 RED RIVER, 2ND FLOOR
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City | AUSTIN
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State | TX
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Zip | 78712
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Country | US
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Telephone | 512-495-5555
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10079229
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | BP10079229
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License Number State | TX
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