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General NPI Number Information
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NPI Number | 1356169700
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Entity Type | Individual
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Provider Name | CRISTINA MARIXA LOPEZ SEILER RN
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Gender | Female
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 841 PRUDENTIAL DR STE 1100
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8352
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Country | US
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Telephone | 904-328-7379
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 N TRIUMPH BLVD STE 500
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City | LEHI
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State | UT
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Zip | 84043-6475
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Country | US
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Telephone |
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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 | 11037466
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 9610015
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License Number State | FL
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