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General NPI Number Information
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NPI Number | 1598350530
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Entity Type | Individual
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Provider Name | MELISSA CRUCES ANDRADE MD
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Gender | Female
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 301 UNIVERSITY BLVD
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City | GALVESTON
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State | TX
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Zip | 77555-5302
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Country | US
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Telephone | 409-772-3373
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Fax |
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Provider Business Mailing Address
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Address Line | 6401 CALLE PLACIDO DR
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City | EL PASO
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State | TX
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Zip | 79912-7527
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Country | US
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Telephone | 915-549-4997
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | V8200
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License Number State | TX
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