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General NPI Number Information
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NPI Number | 1730813734
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Entity Type | Individual
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Provider Name | NATHALY VEGA HERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 07/14/2022
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 4894 LOUETTA RD
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City | SPRING
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State | TX
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Zip | 77388-4421
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Country | US
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Telephone | 800-218-8989
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Fax |
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Provider Business Mailing Address
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Address Line | 12331 N GESSNER RD APT 613
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City | HOUSTON
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State | TX
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Zip | 77064-7671
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Country | US
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Telephone | 979-318-9260
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1112553
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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 | 1112553
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License Number State | TX
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