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General NPI Number Information
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NPI Number | 1982476008
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Entity Type | Individual
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Provider Name | MARIA LOURDES PEREZ MS, WHNP-BC, APRN
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Gender | Female
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 920 SAN PEDRO AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78212-4607
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Country | US
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Telephone | 210-736-2475
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Fax |
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Provider Business Mailing Address
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Address Line | 1139 ROUSE ST
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City | HOUSTON
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State | TX
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Zip | 77020-7446
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Country | US
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Telephone | 281-902-7000
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 1138212
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License Number State | TX
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