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General NPI Number Information
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NPI Number | 1659183564
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Entity Type | Individual
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Provider Name | ANTONETTE MARIE LIGO PASQUIL
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Gender | Female
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 9212 FRY RD
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City | CYPRESS
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State | TX
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Zip | 77433-5488
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Country | US
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Telephone | 281-845-8454
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Fax | 575-205-0462
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Provider Business Mailing Address
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Address Line | 3414 RIVERSIDE GLEN LN
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City | RICHMOND
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State | TX
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Zip | 77469-2595
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Country | US
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Telephone | 346-669-4817
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Fax | 702-745-0675
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1187101
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License Number State | TX
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