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General NPI Number Information
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NPI Number | 1093594574
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Entity Type | Organization
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Legal Business Name | NEEDLE LITTLE CARE LLC
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 3838 N SAM HOUSTON PKWY E STE 325
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City | HOUSTON
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State | TX
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Zip | 77032-3400
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Country | US
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Telephone | 281-713-5113
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Fax |
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Provider Business Mailing Address
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Address Line | 13165 W LAKE HOUSTON PKWY # 229
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City | HOUSTON
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State | TX
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Zip | 77044-5391
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Country | US
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Telephone | 281-713-5113
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTIONER
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Name | NATASSIA CLEAVES
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Credential |
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Telephone | 901-921-0798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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