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General NPI Number Information
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NPI Number | 1336094606
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Entity Type | Organization
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Legal Business Name | PERIMENOPAUSE PRACTITIONER
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 11201 ARMOUR DR STE A2
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City | EL PASO
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State | TX
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Zip | 79935-4811
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Country | US
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Telephone | 915-209-0118
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Fax | 915-250-0113
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 24369
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 915-209-0118
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Fax | 915-250-0113
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Authorized Official
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Title or Position | NURSE PRACTITIONER, OWNER
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Name | SHAKEEKA ALLISON MISHER
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Credential | FNP
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Telephone | 915-209-0118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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