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General NPI Number Information
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NPI Number | 1861992497
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Entity Type | Organization
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Legal Business Name | LOTUS WELLNESS AND HEALTH PLLC
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 02/20/2018
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Provider Practice Location Address
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Address Line | 3407 GLENVIEW AVE
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City | AUSTIN
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State | TX
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Zip | 78703-1448
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Country | US
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Telephone | 512-716-0861
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Fax |
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Provider Business Mailing Address
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Address Line | 3407 GLENVIEW AVE
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City | AUSTIN
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State | TX
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Zip | 78703-1448
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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 | ADMINISTRATOR
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Name | ANDREA LAYNE STOVALL
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Credential |
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Telephone | 512-426-3514
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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
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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 | 2088F0040X
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Taxonomy Name | Female Pelvic Medicine and Reconstructive Surgery
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License Number |
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License Number State |
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