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General NPI Number Information
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NPI Number | 1447881271
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Entity Type | Individual
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Provider Name | MELISSA ABIGAIL LOZANO
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Gender | Female
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Dates
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Enumeration Date | 01/30/2020
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 622 BURGESSVILLE RD
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City | RUSTON
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State | LA
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Zip | 71270-5154
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Country | US
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Telephone | 318-224-7223
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Fax | 318-415-1004
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Provider Business Mailing Address
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Address Line | 2402 KAVANAUGH RD
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City | RUSTON
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State | LA
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Zip | 71270-9541
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Country | US
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Telephone | 424-645-2058
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT1576
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | AMFT117572
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License Number State | CA
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