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General NPI Number Information
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NPI Number | 1659662054
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Entity Type | Organization
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Legal Business Name | SAINT VINCENTS CLINIC
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 06/08/2011
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Provider Practice Location Address
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Address Line | 2817 POST OFFICE ST
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City | GALVESTON
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State | TX
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Zip | 77550-1728
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Country | US
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Telephone | 409-765-2219
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Fax | 409-770-0394
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Provider Business Mailing Address
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Address Line | 2817 POST OFFICE ST
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City | GALVESTON
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State | TX
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Zip | 77550-1728
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Country | US
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Telephone | 409-765-2219
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Fax | 409-770-0394
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Authorized Official
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Title or Position | PHD
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Name | KATHRYN FIANDT
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Credential |
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Telephone | 44097652219
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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 |
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License Number State |
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