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General NPI Number Information
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NPI Number | 1245034032
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Entity Type | Individual
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Provider Name | AMY BETH LOZANO PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 3407 SPENCER HWY STE 200
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City | PASADENA
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State | TX
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Zip | 77504-1180
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Country | US
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Telephone | 713-429-5325
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Fax |
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Provider Business Mailing Address
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Address Line | 1133 24TH AVE N
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City | TEXAS CITY
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State | TX
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Zip | 77590-5516
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Country | US
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Telephone | 409-682-6241
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1193634
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License Number State | TX
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