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NPI 1548135379

NPI 1548135379 : JULIANA MESSINA : LIVE OAK, TX

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General NPI Number Information
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    NPI Number           |    1548135379
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    Entity Type          |    Individual 
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    Provider Name        |    JULIANA MESSINA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/09/2025
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    Last Update Date     |    10/09/2025
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Provider Practice Location Address
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    Address Line         |    12602 TOEPPERWEIN RD STE 208 
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    City                 |    LIVE OAK
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    State                |    TX
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    Zip                  |    78233-3271
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    Country              |    US
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    Telephone            |    210-403-0794
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    Fax                  |    210-646-0042
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Provider Business Mailing Address
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    Address Line         |    24A 4TH ST W UNIT 841A 
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    City                 |    UNIVERSAL CITY
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    State                |    TX
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    Zip                  |    78148-5456
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    Country              |    US
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    Telephone            |    210-798-6840
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    1215354
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    License Number State |    TX
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