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General NPI Number Information
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NPI Number | 1255225728
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Entity Type | Individual
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Provider Name | TANIQUA MIGHTY FNP
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Gender | Female
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Dates
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Enumeration Date | 06/07/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 4301 GARTH RD STE 101
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City | BAYTOWN
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State | TX
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Zip | 77521-3157
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Country | US
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Telephone | 832-556-6625
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Fax | 832-556-6650
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Provider Business Mailing Address
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Address Line | 15307 DAVAN SPRINGS DR
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City | HUMBLE
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State | TX
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Zip | 77346-4831
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Country | US
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Telephone | 914-609-6330
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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 | 1206375
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F3565501
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License Number State | NY
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