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General NPI Number Information
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NPI Number | 1558591677
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Entity Type | Organization
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Legal Business Name | FOREST HEALTH CLINIC, PLLC
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Dates
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Enumeration Date | 07/23/2009
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 8000 HIGHWAY 242 STE 116
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City | CONROE
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State | TX
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Zip | 77385-4358
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Country | US
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Telephone | 936-242-1627
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Fax | 936-242-1312
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Provider Business Mailing Address
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Address Line | 8000 HIGHWAY 242 STE 116
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City | CONROE
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State | TX
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Zip | 77385-4358
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Country | US
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Telephone | 936-242-1627
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Fax | 936-242-1312
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Authorized Official
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Title or Position | PRESIDENT
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Name | WATCHARA SILO
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Credential | MS, APRN, BC, FNP
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Telephone | 936-242-1627
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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 | 599159
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License Number State | TX
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