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General NPI Number Information
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NPI Number | 1649095381
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Entity Type | Individual
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Provider Name | ALEXA ANNE LOHRSTORFER
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Gender | Female
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 601B LEAH AVE
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City | SAN MARCOS
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State | TX
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Zip | 78666-7849
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Country | US
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Telephone | 512-392-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 16318 ELK HOLLOW ST
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City | SAN ANTONIO
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State | TX
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Zip | 78247-1360
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Country | US
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Telephone | 512-517-6565
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1179841
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License Number State | TX
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