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General NPI Number Information
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NPI Number | 1447027750
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Entity Type | Individual
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Provider Name | MELISSA CASTILLO LOZANO CNM
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Gender | Female
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Dates
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Enumeration Date | 12/06/2023
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 575 HILL COUNTRY DR STE 202
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City | KERRVILLE
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State | TX
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Zip | 78028-6024
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Country | US
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Telephone | 830-258-6237
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Fax |
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Provider Business Mailing Address
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Address Line | 16 HILLSIDE DR
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City | CRYSTAL CITY
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State | TX
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Zip | 78839-3104
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Country | US
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Telephone | 830-968-3837
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 1141452
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License Number State | TX
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