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General NPI Number Information
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NPI Number | 1346297702
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Entity Type | Individual
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Provider Name | OLGA Y MORA NP
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Gender | Female
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 09/14/2009
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Provider Practice Location Address
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Address Line | 3450 FM 1960 W
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City | HOUSTON
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State | TX
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Zip | 77068
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Country | US
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Telephone | 281-444-1738
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Fax | 281-444-3084
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Provider Business Mailing Address
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Address Line | 1700 WEST LOOP SOUTH STE 400B
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City | HOUSTON
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State | TX
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Zip | 77027
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Country | US
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Telephone | 281-444-1738
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Fax | 281-444-3084
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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 | 439453
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License Number State | TX
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