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General NPI Number Information
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NPI Number | 1801725288
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Entity Type | Organization
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Legal Business Name | ADVANCED LIVER AND METABOLIC HEALTH INSTITUTE PLLC
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 1229 E GRIFFIN PKWY UNIT E
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City | MISSION
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State | TX
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Zip | 78572-2417
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Country | US
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Telephone | 956-598-6333
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Fax | 833-740-3759
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Provider Business Mailing Address
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Address Line | 4201 SAN EFRAIN
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City | MISSION
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State | TX
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Zip | 78572-3819
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Country | US
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Telephone | 956-862-0900
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Fax |
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Authorized Official
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Title or Position | OWNER/ NURSE PRACTITIONER
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Name | MRS. PAMELA PENA
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Credential | APRN, AGACNP
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Telephone | 956-862-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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