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General NPI Number Information
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NPI Number | 1245607761
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Entity Type | Individual
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Provider Name | NURZY MATHEW NP
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Gender | Female
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Dates
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Enumeration Date | 09/01/2015
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 17189 INTERSTATE 45 S., MEDICAL OFFICE BUILDING 2 SUITE 105,
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City | THE WOODLANDS
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State | TX
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Zip | 77385
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Country | US
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Telephone | 936-270-4971
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Fax | 936-270-4972
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Provider Business Mailing Address
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Address Line | 17189 INTERSTATE 45 S., MEDICAL OFFICE BUILDING 2 SUITE 105,
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City | THE WOODLANDS
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State | TX
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Zip | 77385-9362
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Country | US
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Telephone | 936-270-4971
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Fax | 936-270-4972
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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 | AP128844
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP128844
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License Number State | TX
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