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General NPI Number Information
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NPI Number | 1073930665
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Entity Type | Organization
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Legal Business Name | Y-FAMILY HEALTHCARE PLLC
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Dates
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Enumeration Date | 03/21/2014
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Last Update Date | 03/21/2014
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Provider Practice Location Address
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Address Line | 712 E TIDWELL RD STE H
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City | HOUSTON
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State | TX
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Zip | 77022-1842
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Country | US
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Telephone | 713-694-2273
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Fax | 713-694-8222
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Provider Business Mailing Address
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Address Line | 17914 NANES DR
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City | HOUSTON
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State | TX
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Zip | 77090-1268
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Country | US
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Telephone | 713-694-2273
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Fax | 713-694-8222
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DR. STEPHANIE R BROWN
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Credential | D.N.P
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Telephone | 713-694-2273
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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 | 588594
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License Number State | TX
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