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General NPI Number Information
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NPI Number | 1316581705
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Entity Type | Individual
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Provider Name | ANNTERRIA BRUCE
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Gender | Female
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Dates
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Enumeration Date | 10/29/2019
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 2050 NORTH LOOP W FWY SVC RD UNIT 130
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City | HOUSTON
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State | TX
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Zip | 77018
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Country | US
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Telephone | 832-707-7042
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Fax |
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Provider Business Mailing Address
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Address Line | 20550 TOWNSEN BLVD UNIT 106-2
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City | HUMBLE
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State | TX
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Zip | 77338-4445
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Country | US
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Telephone | 832-579-0450
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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 | AP145886
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | 800034
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License Number State | TX
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