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General NPI Number Information
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NPI Number | 1710812185
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Entity Type | Individual
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Provider Name | SHANNA HONKOMP FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/16/2026
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Last Update Date | 06/16/2026
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Provider Practice Location Address
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Address Line | 3201 UNIVERSITY DR E STE 135
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City | BRYAN
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State | TX
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Zip | 77802-3481
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Country | US
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Telephone | 979-703-1832
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 WHISPERING OAKS CIR
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City | BRYAN
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State | TX
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Zip | 77802-2023
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Country | US
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Telephone | 979-204-3242
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1039577
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License Number State | TX
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