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General NPI Number Information
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NPI Number | 1285235929
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Entity Type | Organization
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Legal Business Name | ACTIVATE FAMILY HEALTH, PLLC
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Dates
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Enumeration Date | 11/07/2020
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Last Update Date | 11/07/2020
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Provider Practice Location Address
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Address Line | 203 E DAVIS ST STE F-1026
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City | CONROE
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State | TX
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Zip | 77301-3159
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Country | US
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Telephone | 936-647-5380
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Fax | 936-703-5900
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Provider Business Mailing Address
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Address Line | 203 E DAVIS ST STE F-1026
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City | CONROE
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State | TX
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Zip | 77301-3159
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Country | US
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Telephone | 936-647-5380
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | JENNIFER HOPSON
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Credential | APRN, FNP-C
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Telephone | 936-647-5380
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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 |
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License Number State |
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