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General NPI Number Information
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NPI Number | 1518619741
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Entity Type | Individual
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Provider Name | TAWANNA THOMPSON CHARGOIS R.N.
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Gender | Female
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Dates
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Enumeration Date | 01/19/2022
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Last Update Date | 01/19/2022
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Provider Practice Location Address
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Address Line | 12307 GOLDEN OASIS LN
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City | HUMBLE
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State | TX
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Zip | 77346-4183
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Country | US
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Telephone | 281-235-9247
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Fax | 346-273-2168
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Provider Business Mailing Address
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Address Line | PO BOX 1562
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City | HUMBLE
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State | TX
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Zip | 77347-1562
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Country | US
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Telephone | 281-235-9247
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Fax | 346-273-2168
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 902000
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 902000
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 902000
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License Number State | TX
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