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General NPI Number Information
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NPI Number | 1558766725
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Entity Type | Individual
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Provider Name | HEESOOK CHEON MSN, RN, FNP
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Gender | Female
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Dates
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Enumeration Date | 10/29/2014
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 2623 MANDALAY CT
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City | PEARLAND
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State | TX
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Zip | 77584-9162
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Country | US
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Telephone | 979-422-7427
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Fax | 512-793-9719
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Provider Business Mailing Address
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Address Line | 22999 HIGHWAY 59 N STE 218
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City | KINGWOOD
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State | TX
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Zip | 77339-4440
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Country | US
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Telephone | 281-361-4600
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Fax | 281-361-4601
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP122930
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP122930
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License Number State | TX
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