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General NPI Number Information
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NPI Number | 1376344259
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Entity Type | Individual
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Provider Name | JESSICA GALON PHAM
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Gender |
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 6400 FANNIN ST STE 2900
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City | HOUSTON
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State | TX
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Zip | 77030-1555
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Country | US
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Telephone | 713-704-4081
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Fax |
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Provider Business Mailing Address
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Address Line | 12503 ABBEY HOUSE CT
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City | HOUSTON
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State | TX
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Zip | 77047-2023
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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 | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | 881074
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License Number State | TX
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