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General NPI Number Information
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NPI Number | 1730688227
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Entity Type | Individual
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Provider Name | AMELIA R. JOSSERAND PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/09/2018
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 10777 WESTHEIMER RD STE 1100
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City | HOUSTON
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State | TX
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Zip | 77042-3462
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Country | US
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Telephone | 877-878-3289
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Fax | 877-817-3227
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Provider Business Mailing Address
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Address Line | 5224 75TH ST STE D
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City | LUBBOCK
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State | TX
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Zip | 79424-2525
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Country | US
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Telephone | 806-712-1096
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Fax | 806-771-2093
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA13009
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2209
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License Number State | NE
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