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General NPI Number Information
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NPI Number | 1356300420
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Entity Type | Organization
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Legal Business Name | VANGUARD GERIATRICS INC
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Dates
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Enumeration Date | 03/18/2006
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Last Update Date | 09/06/2011
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Provider Practice Location Address
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Address Line | 4660 BEECHNUT ST STE 218-A
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City | HOUSTON
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State | TX
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Zip | 77096-1824
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Country | US
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Telephone | 713-521-0006
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Fax |
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Provider Business Mailing Address
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Address Line | 4660 BEECHNUT ST STE 218
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City | HOUSTON
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State | TX
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Zip | 77096-1825
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Country | US
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Telephone | 713-521-0006
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. EDITH SPOSSEY SAX
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Credential | MSN, RN, GNP-BC
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Telephone | 713-521-0006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | G8285
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 637220
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 607064
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License Number State | TX
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Taxonomy #11
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 425936
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License Number State | TX
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Taxonomy #12
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State | TX
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Taxonomy #13
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State | TX
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