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General NPI Number Information
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NPI Number | 1093339087
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Entity Type | Individual
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Provider Name | NATHALIA ABE EGEBE NP
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Gender | Female
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 17567 IMPERIAL VALLEY DR
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City | HOUSTON
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State | TX
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Zip | 77060-6102
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Country | US
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Telephone | 832-368-6681
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Fax |
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Provider Business Mailing Address
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Address Line | 21426 AVALON QUEEN DR
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City | SPRING
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State | TX
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Zip | 77379-5910
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Country | US
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Telephone | 240-701-4605
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP145877
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License Number State | TX
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