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General NPI Number Information
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NPI Number | 1558790303
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Entity Type | Individual
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Provider Name | JEWEL ROTELLA CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 05/02/2024
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Provider Practice Location Address
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Address Line | 18400 KATY FRWY MOB 1 #360
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City | HOUSTON
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State | TX
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Zip | 77094
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Country | US
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Telephone | 713-441-5800
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Fax | 713-791-5023
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Provider Business Mailing Address
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Address Line | 1707 WILDE ROCK WAY
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City | HOUSTON
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State | TX
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Zip | 77018-7213
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Country | US
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Telephone | 412-500-6033
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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 | SP013364
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License Number State | PA
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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 | 1128155
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License Number State | TX
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