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General NPI Number Information
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NPI Number | 1992633614
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Entity Type | Individual
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Provider Name | LILIA MONICA MEDINA RN
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Gender | Female
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 425 S TELSHOR BLVD STE B201
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City | LAS CRUCES
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State | NM
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Zip | 88011-8212
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Country | US
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Telephone | 575-323-9845
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Fax | 575-449-3226
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Provider Business Mailing Address
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Address Line | 6688 N CENTRAL EXPY STE 1300
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City | DALLAS
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State | TX
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Zip | 75206-3950
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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 |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 769418
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License Number State | TX
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