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General NPI Number Information
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NPI Number | 1588295034
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Entity Type | Individual
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Provider Name | VICTORIA TAYESE FNP
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Gender | Female
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Dates
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Enumeration Date | 02/03/2020
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 8588 KATY FWY STE 226A
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City | HOUSTON
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State | TX
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Zip | 77024-1881
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Country | US
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Telephone | 713-532-6884
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Fax |
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Provider Business Mailing Address
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Address Line | 19823 CREEKSHORE DR
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City | KATY
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State | TX
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Zip | 77449-4387
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Country | US
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Telephone | 646-691-2958
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 461629-1
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License Number State | NY
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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 | F348784-01
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License Number State | TX
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