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General NPI Number Information
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NPI Number | 1265933766
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Entity Type | Individual
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Provider Name | LILLIAN ELIZABETH MEDHUS DNP, WHNP-BC, CNM
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Gender | Female
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Dates
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Enumeration Date | 02/21/2018
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 464 SUGARLANDS DR
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City | WAXAHACHIE
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State | TX
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Zip | 75165-9595
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Country | US
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Telephone | 469-570-3523
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Fax | 866-372-0873
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Provider Business Mailing Address
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Address Line | 464 SUGARLANDS DR
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City | WAXAHACHIE
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State | TX
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Zip | 75165-9595
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Country | US
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Telephone | 469-570-3523
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Fax | 866-372-0873
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 5740
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License Number State | MN
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