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General NPI Number Information
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NPI Number | 1124800321
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Entity Type | Individual
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Provider Name | TONIKA NORCHELLE WASHINGTON COMMUNITY HEALTH WOR
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Gender | Female
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Dates
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Enumeration Date | 10/20/2023
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 1503 ROANWOOD DR
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City | HOUSTON
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State | TX
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Zip | 77090-2421
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Country | US
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Telephone | 832-216-5995
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Fax |
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Provider Business Mailing Address
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Address Line | 1038 CASTING SPRINGS WAY
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City | SPRING
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State | TX
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Zip | 77373-7962
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Country | US
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Telephone | 832-216-5995
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 13457
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License Number State | TX
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