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General NPI Number Information
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NPI Number | 1679446603
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Entity Type | Individual
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Provider Name | EMILY FAYE DEHART CLC
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Gender | Female
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 404 N MAIN ST
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City | BELTON
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State | TX
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Zip | 76513-3165
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Country | US
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Telephone | 254-265-1409
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Fax |
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Provider Business Mailing Address
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Address Line | 2711 LIVE OAK DR
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City | COPPERAS COVE
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State | TX
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Zip | 76522-3318
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Country | US
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Telephone | 208-965-0545
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | ALPP-368066
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License Number State | TX
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