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General NPI Number Information
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NPI Number | 1801512637
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Entity Type | Individual
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Provider Name | CHELSEA LOPEZ FNP
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Gender | Female
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 201 E WILCO HWY SUITE 100
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City | HUTTO
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State | TX
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Zip | 78634
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Country | US
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Telephone | 512-551-0792
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Fax |
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Provider Business Mailing Address
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Address Line | 6621 TARA DR
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City | AUSTIN
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State | TX
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Zip | 78747-4068
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1090334
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License Number State | TX
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