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General NPI Number Information
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NPI Number | 1194782573
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Entity Type | Individual
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Provider Name | L. ANNE MAZEL NP
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Gender | Female
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 07/13/2021
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Provider Practice Location Address
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Address Line | 10141 US 59 HWY STE E1
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City | WHARTON
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State | TX
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Zip | 77488-7224
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Country | US
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Telephone | 979-358-9410
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Fax | 979-358-9411
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Provider Business Mailing Address
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Address Line | 4911 SANDHILL DR
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City | SUGAR LAND
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State | TX
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Zip | 77479-5320
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Country | US
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Telephone | 281-238-7870
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Fax | 281-633-4985
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 524792
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License Number State | TX
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