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General NPI Number Information
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NPI Number | 1306077946
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Entity Type | Individual
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Provider Name | AMY MARIE HUSTON WHNP
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Gender | Female
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Dates
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Enumeration Date | 07/30/2009
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 705 S FRY RD SUITE 325
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City | KATY
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State | TX
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Zip | 77450-2251
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Country | US
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Telephone | 281-829-9908
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Fax |
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Provider Business Mailing Address
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Address Line | 9235 N HIGHWAY 146 STE 2
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City | MONT BELVIEU
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State | TX
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Zip | 77523-9503
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Country | US
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Telephone | 281-829-9908
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 689577
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License Number State | TX
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