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General NPI Number Information
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NPI Number | 1659252302
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Entity Type | Individual
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Provider Name | REGAN MICHELLE SCIARRILLA MSN, APRN, CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 2830 CALDER ST
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City | BEAUMONT
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State | TX
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Zip | 77702-1809
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Country | US
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Telephone | 409-790-0515
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Fax |
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Provider Business Mailing Address
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Address Line | 470 BONURA RD N
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City | SOUR LAKE
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State | TX
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Zip | 77659-8790
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Country | US
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Telephone | 409-790-0515
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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 | 1212807
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License Number State | TX
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