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General NPI Number Information
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NPI Number | 1245843473
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Entity Type | Individual
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Provider Name | VANNICA SOY FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/27/2020
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Last Update Date | 08/27/2020
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Provider Practice Location Address
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Address Line | 27150 HIGHWAY 290 STE 100
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City | CYPRESS
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State | TX
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Zip | 77433-7224
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Country | US
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Telephone | 832-653-3300
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Fax | 832-653-6407
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Provider Business Mailing Address
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Address Line | 18422 MAPLE MILL DR
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City | CYPRESS
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State | TX
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Zip | 77429-4523
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Country | US
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Telephone | 832-790-2491
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 1009473
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License Number State | TX
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