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General NPI Number Information
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NPI Number | 1376423814
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Entity Type | Individual
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Provider Name | AMBER MISIOKA
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Gender | Female
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 1910 E SOUTHEAST LOOP 323 # 382
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City | TYLER
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State | TX
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Zip | 75701-8337
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Country | US
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Telephone | 855-832-6727
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Fax |
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Provider Business Mailing Address
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Address Line | 190 RITCHEY RD
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City | COLDSPRING
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State | TX
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Zip | 77331-5612
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Country | US
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Telephone | 915-204-2619
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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