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General NPI Number Information
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NPI Number | 1689285488
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Entity Type | Individual
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Provider Name | ROSA GUADALUPE BRENES MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/14/2020
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 24420 FM 1314 RD STE 6
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City | PORTER
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State | TX
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Zip | 77365-5490
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Country | US
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Telephone | 815-775-1082
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Fax | 281-577-5109
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Provider Business Mailing Address
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Address Line | 5718 WESTHEIMER RD STE 400
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City | HOUSTON
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State | TX
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Zip | 77057-5733
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Country | US
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Telephone | 281-783-8162
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1008454
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License Number State | TX
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