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General NPI Number Information
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NPI Number | 1447880745
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Entity Type | Individual
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Provider Name | MELISSA ANN GIMENEZ
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Gender | Female
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Dates
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Enumeration Date | 01/25/2020
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 7877 WILLOW CHASE BLVD
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City | HOUSTON
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State | TX
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Zip | 77070-5934
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Country | US
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Telephone | 832-869-4818
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Fax |
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Provider Business Mailing Address
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Address Line | 2331 BAL HARBOUR DR
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City | MISSOURI CITY
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State | TX
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Zip | 77459-7210
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Country | US
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Telephone | 832-384-3823
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 845263
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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 | 1009219
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License Number State | TX
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