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General NPI Number Information
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NPI Number | 1063360881
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Entity Type | Organization
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Legal Business Name | EMPOWERED LIFE AHEAD
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Dates
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Enumeration Date | 03/18/2026
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Last Update Date | 03/18/2026
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Provider Practice Location Address
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Address Line | 2400 E 21ST ST
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City | MISSION
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State | TX
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Zip | 78572-3391
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Country | US
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Telephone | 956-253-1977
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Fax | 956-253-1401
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Provider Business Mailing Address
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Address Line | 2400 E 21ST ST
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City | MISSION
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State | TX
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Zip | 78572-3391
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Country | US
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Telephone | 956-253-1977
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Fax | 956-253-1401
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Authorized Official
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Title or Position | OWNER-NURSE PRACTITIONER
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Name | MS. ROSITA HASBUN
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Credential | APRN-FNP
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Telephone | 956-458-4830
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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