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General NPI Number Information
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NPI Number | 1417938879
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Entity Type | Individual
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Provider Name | GAIL T WELLS RN,MS,FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 10311 N ELDRIDGE PKWY STE. B5
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City | HOUSTON
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State | TX
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Zip | 77065-5368
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Country | US
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Telephone | 281-890-3822
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Fax | 281-890-3844
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Provider Business Mailing Address
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Address Line | 12714 AZALEA CREEK TRL
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City | HOUSTON
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State | TX
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Zip | 77065-3207
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Country | US
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Telephone | 281-894-7098
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Fax | 281-890-3844
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 504124
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP104815
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License Number State | TX
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