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General NPI Number Information
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NPI Number | 1740058247
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Entity Type | Organization
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Legal Business Name | A&S VITALITY HEALTHCARE SERVICES
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Dates
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Enumeration Date | 12/13/2023
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 8200 WEDNESBURY LN STE 270
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City | HOUSTON
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State | TX
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Zip | 77074-2900
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Country | US
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Telephone | 832-974-0516
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Fax | 609-309-7927
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Provider Business Mailing Address
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Address Line | 5806 BALDWIN ELM ST
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City | RICHMOND
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State | TX
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Zip | 77407-7092
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Country | US
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Telephone | 469-667-5895
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Fax |
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Authorized Official
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Title or Position | OWNER 1
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Name | MRS. SHARON NGWASHA NCHONKO
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Credential | FNP
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Telephone | 469-667-5895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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