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General NPI Number Information
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NPI Number | 1245897131
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Entity Type | Individual
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Provider Name | HANNAH DECEMBER JONES PA
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Gender | Female
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Dates
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Enumeration Date | 05/26/2019
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 5757 WOODWAY DR STE 28
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City | HOUSTON
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State | TX
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Zip | 77057-1514
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Country | US
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Telephone | 281-603-1604
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Fax |
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Provider Business Mailing Address
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Address Line | 5333 LARKIN ST UNIT B
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City | HOUSTON
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State | TX
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Zip | 77007-1924
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Country | US
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Telephone | 337-258-7504
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA14595
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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