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General NPI Number Information
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NPI Number | 1811274525
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Entity Type | Organization
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Legal Business Name | MEDINA LAKE CLINIC PA
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Dates
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Enumeration Date | 11/09/2011
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 146 LAUREL VISTA DR
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City | LAKEHILLS
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State | TX
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Zip | 78063-6389
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Country | US
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Telephone | 713-292-6959
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Fax |
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Provider Business Mailing Address
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Address Line | 146 LAUREL VISTA DR
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City | LAKEHILLS
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State | TX
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Zip | 78063-6389
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Country | US
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Telephone | 830-751-3330
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHELLY KOHLLEPPEL
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Credential | MD
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Telephone | 830-751-3330
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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 |
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License Number State |
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