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General NPI Number Information
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NPI Number | 1609399922
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Entity Type | Individual
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Provider Name | JISHA SHIJI THOMAS NP
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Gender | Female
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 400 HARBORSIDE DR STE 100
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City | GALVESTON
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State | TX
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Zip | 77555-0001
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Country | US
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Telephone | 832-505-2300
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Fax | 409-747-7012
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Provider Business Mailing Address
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Address Line | 3918 SHADOW POINT DR
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City | LEAGUE CITY
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State | TX
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Zip | 77573-3793
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Country | US
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Telephone | 409-457-6358
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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 | AP133620
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License Number State | TX
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