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General NPI Number Information
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NPI Number | 1356237945
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Entity Type | Individual
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Provider Name | TAMERA HOUSTON
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Gender |
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | DR HITZELBERGER STRASSE 10
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City | LANDSTUHL
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State | RHINELAND-PFALZ
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Zip | 66849
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Country | DE
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Telephone | 63-719-4645
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Fax |
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Provider Business Mailing Address
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Address Line | CMR 479 BOX 895
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City | APO
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State | AE
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Zip | 09263-1009
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Country | US
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Telephone |
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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 | 163WP0000X
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Taxonomy Name | Pain Management Registered Nurse
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License Number | RN.1690109
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License Number State | CO
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