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General NPI Number Information
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NPI Number | 1124936463
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Entity Type | Individual
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Provider Name | ELIZABETH RYAN PANNELL BSN,RN,CLC, SNM
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Gender | Female
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 5653 RR 1120 # 186
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City | RIO FRIO
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State | TX
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Zip | 78879-7903
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Country | US
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Telephone | 830-279-6311
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 186
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City | RIO FRIO
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State | TX
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Zip | 78879-0186
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Country | US
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Telephone | 830-279-6311
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 867518
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 867518
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 163WP1700X
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Taxonomy Name | Perinatal Registered Nurse
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License Number | 867518
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 867518
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License Number State | TX
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