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General NPI Number Information
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NPI Number | 1326459850
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Entity Type | Organization
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Legal Business Name | IMANI FAMILY CLINIC
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Dates
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Enumeration Date | 05/19/2014
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Last Update Date | 05/19/2014
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Provider Practice Location Address
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Address Line | 13625 BEECHNUT ST
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City | HOUSTON
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State | TX
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Zip | 77083-6843
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Country | US
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Telephone | 713-885-1905
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Fax | 281-265-0081
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Provider Business Mailing Address
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Address Line | 13625 BEECHNUT ST
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City | HOUSTON
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State | TX
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Zip | 77083-6843
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Country | US
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Telephone | 713-885-1905
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Fax | 281-265-0081
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | HAWA TURAY STINSON
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Credential | APRN, FNP-C
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Telephone | 713-885-1905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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