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General NPI Number Information
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NPI Number | 1477415958
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Entity Type | Individual
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Provider Name | KATHY QUYNH MAI RN, MSN, AGPCNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 301 UNIVERSITY BLVD
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City | GALVESTON
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State | TX
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Zip | 77555-0764
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Country | US
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Telephone | 409-772-1011
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Fax | 409-772-5101
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Provider Business Mailing Address
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Address Line | 13311 BROOKSIDE DR
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City | SUGAR LAND
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State | TX
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Zip | 77478-2792
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Country | US
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Telephone | 409-772-1011
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Fax | 409-772-5101
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 1046655
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License Number State | TX
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