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General NPI Number Information
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NPI Number | 1013181163
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Entity Type | Individual
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Provider Name | SUZETTE GRIER BOSVELD DNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/19/2008
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 2605 OSLER BLVD
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City | BRYAN
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State | TX
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Zip | 77802-2516
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Country | US
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Telephone | 979-776-4261
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Fax | 979-776-4271
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Provider Business Mailing Address
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Address Line | PO BOX 250
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City | BEDIAS
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State | TX
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Zip | 77831-0250
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Country | US
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Telephone | 909-524-9926
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1013735
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License Number State | TX
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