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General NPI Number Information
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NPI Number | 1134036700
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Entity Type | Organization
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Legal Business Name | TELEMED KIOSK LLC
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 1401 WIRT RD
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City | HOUSTON
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State | TX
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Zip | 77055
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Country | US
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Telephone | 866-571-0082
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Fax | 949-561-0082
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Provider Business Mailing Address
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Address Line | 5614 W GRAND PKWY S STE 102
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City | RICHMOND
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State | TX
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Zip | 77406-5820
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Country | US
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Telephone | 866-571-0082
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Fax | 949-561-0082
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Authorized Official
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Title or Position | OWNER
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Name | ANTHONY NDUA
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Credential | FNP
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Telephone | 866-571-0082
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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 |
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License Number State |
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