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General NPI Number Information
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NPI Number | 1013542158
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Entity Type | Individual
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Provider Name | LLOYD EHIGIE ESENE PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 03/09/2020
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 5900 BALCONES DR # 8229
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 469-407-1172
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Fax | 682-222-7024
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Provider Business Mailing Address
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Address Line | 2012 HICKORY HILL DR
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City | MANSFIELD
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State | TX
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Zip | 76063-2069
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Country | US
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Telephone | 469-407-1172
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Fax | 682-222-7024
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP145774
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 800894
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License Number State | TX
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