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General NPI Number Information
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NPI Number | 1427675966
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Entity Type | Individual
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Provider Name | ELIZABETH ANN UNRUH NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/01/2020
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 17200 ST LUKES WAY
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City | THE WOODLANDS
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State | TX
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Zip | 77384-8007
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Country | US
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Telephone | 936-266-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 54 HARVEST WIND PL
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City | THE WOODLANDS
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State | TX
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Zip | 77382-3603
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Country | US
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Telephone | 134-598-0557
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP145599
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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 | AP145599
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License Number State | TX
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