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General NPI Number Information
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NPI Number | 1538471255
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Entity Type | Individual
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Provider Name | SHERYL LYNNE MALONE-THOMAS FNP
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Gender | Female
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Dates
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Enumeration Date | 07/10/2010
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Last Update Date | 03/22/2013
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Provider Practice Location Address
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Address Line | 8000 N STADIUM DR
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City | HOUSTON
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State | TX
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Zip | 77054-1823
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Country | US
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Telephone | 832-393-4929
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Fax | 832-393-5255
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Provider Business Mailing Address
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Address Line | 18318 THICKET GROVE RD
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City | HOUSTON
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State | TX
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Zip | 77084-7596
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Country | US
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Telephone | 713-545-8349
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 555032
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License Number State | TX
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