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General NPI Number Information
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NPI Number | 1144801416
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Entity Type | Individual
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Provider Name | JENNIFER MEWSHAW FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 04/19/2021
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Provider Practice Location Address
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Address Line | 1200 TEXAS ST
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City | HOUSTON
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State | TX
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Zip | 77002-3505
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Country | US
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Telephone | 713-221-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 22 GREYCREST PL
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City | THE WOODLANDS
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State | TX
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Zip | 77382-1431
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Country | US
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Telephone | 42-887-8443
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP131735
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License Number State | TX
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