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General NPI Number Information
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NPI Number | 1194005173
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Entity Type | Individual
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Provider Name | VANESSA ROCHELLE WEAVER DNP, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/23/2011
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 12302 JONES RD
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City | HOUSTON
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State | TX
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Zip | 77070-4802
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Country | US
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Telephone | 713-805-5965
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Fax |
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Provider Business Mailing Address
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Address Line | 9737 FM 1960 BYPASS E
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City | HUMBLE
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State | TX
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Zip | 77338-4067
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Country | US
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Telephone | 281-358-0655
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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 | 207Q00000X
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License Number State | TX
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