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General NPI Number Information
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NPI Number | 1861167926
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Entity Type | Organization
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Legal Business Name | MISKELL HEALTHCARE PA
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 1202 E SONTERRA BLVD STE 102
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4238
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Country | US
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Telephone | 210-305-5077
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Fax |
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Provider Business Mailing Address
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Address Line | 598 N UNION AVE STE 300
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-4179
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Country | US
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Telephone | 830-627-7979
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MELISSA MISKELL
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Credential | DO
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Telephone | 830-627-7979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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