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General NPI Number Information
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NPI Number | 1619453131
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Entity Type | Individual
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Provider Name | VANNESSA VERONIQUE EVANS NP
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Gender | Female
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Dates
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Enumeration Date | 07/17/2018
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 510 W BUCCANEER DR
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City | WINNIE
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State | TX
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Zip | 77665-7772
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Country | US
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Telephone | 409-201-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 510 W BUCCANEER DR
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City | WINNIE
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State | TX
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Zip | 77665-7772
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Country | US
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Telephone | 409-656-2220
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP95008909
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP136554
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License Number State | TX
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