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General NPI Number Information
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NPI Number | 1669993473
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Entity Type | Individual
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Provider Name | MIREILLE DZIUK APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/30/2017
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Last Update Date | 10/11/2025
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Provider Practice Location Address
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Address Line | 7442 S STAPLES ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78413-5316
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Country | US
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Telephone | 361-991-0289
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Fax |
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Provider Business Mailing Address
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Address Line | 7442 S STAPLES ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78413-5316
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 219407
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 224904
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 114163
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 72101
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License Number State | ID
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4704387568
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | AP134277
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A168019
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License Number State | IA
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 355428
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License Number State | NY
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP134277
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0002010
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License Number State | CO
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Taxonomy #11
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 49615
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License Number State | WY
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Taxonomy #12
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 852298
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License Number State | NV
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Taxonomy #13
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 114163
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License Number State | NE
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Taxonomy #14
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0003884
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License Number State | CO
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Taxonomy #15
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 71012589A
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License Number State | IN
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