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General NPI Number Information
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NPI Number | 1346906922
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Entity Type | Individual
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Provider Name | ALYSSA MIRO APRN
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Gender | Female
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Dates
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Enumeration Date | 11/09/2021
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 600 ELIZABETH ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78404-2235
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Country | US
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Telephone | 361-881-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 78414 FOLD LANE
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414
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Country | US
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Telephone | 786-510-5710
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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 | 93245-G
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9438925
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 11019274
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1080032
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License Number State | TX
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