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General NPI Number Information
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NPI Number | 1134826654
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Entity Type | Individual
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Provider Name | VIVIAN LARSON APRN, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/15/2023
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 1200 BINZ ST STE 900
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City | HOUSTON
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State | TX
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Zip | 77004-6938
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Country | US
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Telephone | 713-522-0220
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Fax | 713-522-0232
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Provider Business Mailing Address
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Address Line | 124 MCGOEY CIR
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City | CONROE
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State | TX
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Zip | 77384-2129
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Country | US
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Telephone | 281-387-2165
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1110423
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License Number State | TX
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