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General NPI Number Information
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NPI Number | 1699894378
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Entity Type | Individual
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Provider Name | BRENT EATON NP-C, CRNFA, LSA
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 10/26/2024
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Provider Practice Location Address
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Address Line | 2106 IRONWOOD PASS DR
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City | MISSOURI CITY
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State | TX
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Zip | 77459-3781
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Country | US
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Telephone | 832-600-5144
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Fax | 713-903-7910
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Provider Business Mailing Address
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Address Line | 2106 IRONWOOD PASS DR
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City | MISSOURI CITY
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State | TX
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Zip | 77459-3781
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Country | US
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Telephone | 832-600-5144
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Fax | 713-903-7910
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | SA00623
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License Number State | TX
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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 | F0510035
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP119124
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License Number State | TX
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