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General NPI Number Information
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NPI Number | 1700573284
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Entity Type | Individual
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Provider Name | MARY ELIZABETH RANKIN APRN
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Gender | Female
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Dates
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Enumeration Date | 04/24/2023
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 1200 BAKER ST
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City | HOUSTON
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State | TX
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Zip | 77002-1206
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Country | US
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Telephone | 346-286-2420
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Fax |
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Provider Business Mailing Address
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Address Line | 14831 VESPER LAKE CT
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City | HUMBLE
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State | TX
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Zip | 77396-4574
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Country | US
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Telephone | 832-215-0794
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1110428
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License Number State | TX
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