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General NPI Number Information
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NPI Number | 1043701113
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Entity Type | Individual
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Provider Name | DESIREE BITTNER FNP
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Gender | Female
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Dates
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Enumeration Date | 05/24/2018
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Last Update Date | 06/10/2019
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Provider Practice Location Address
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Address Line | 20207 CHASEWOOD PARK DR STE 305
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City | HOUSTON
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State | TX
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Zip | 77070-1442
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Country | US
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Telephone | 281-290-0222
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Fax | 281-290-0233
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Provider Business Mailing Address
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Address Line | 16145 HIGHWAY 105 W STE 600
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City | MONTGOMERY
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State | TX
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Zip | 77356-6069
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Country | US
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Telephone | 936-463-8104
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Fax | 936-242-6881
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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 | AP137605
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License Number State | TX
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