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General NPI Number Information
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NPI Number | 1538924956
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Entity Type | Individual
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Provider Name | AMBER COMSTOCK
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Gender | Female
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 3650 N MAJOR DR STE A
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City | BEAUMONT
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State | TX
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Zip | 77713-9684
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Country | US
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Telephone | 409-333-1272
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Fax |
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Provider Business Mailing Address
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Address Line | 3621 1ST AVE
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City | ORANGE
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State | TX
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Zip | 77630-7646
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Country | US
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Telephone |
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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 | 1152897
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License Number State | TX
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