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General NPI Number Information
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NPI Number | 1811879497
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Entity Type | Individual
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Provider Name | LILY ISBELL CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 4900 MUELLER BLVD
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City | AUSTIN
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State | TX
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Zip | 78723-3051
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Country | US
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Telephone | 512-324-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 2109 BRIDLE PATH UNIT B
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City | AUSTIN
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State | TX
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Zip | 78703-3203
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Country | US
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Telephone | 214-310-7074
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1038354
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License Number State | TX
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