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General NPI Number Information
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NPI Number | 1730848334
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Entity Type | Organization
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Legal Business Name | MANVEL FAMILY CLINIC, PLLC
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Dates
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Enumeration Date | 12/10/2021
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 23869 W STATE HWY 6 SUITE D
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City | ALVIN
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State | TX
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Zip | 77511-7952
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Country | US
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Telephone | 832-532-4426
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Fax | 877-669-0338
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Provider Business Mailing Address
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Address Line | 23869 W STATE HWY 6 SUITE D
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City | ALVIN
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State | TX
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Zip | 77511-7952
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Country | US
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Telephone | 832-532-4426
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | SHERYL INMAN
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Credential | NP-C
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Telephone | 713-542-1682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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