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General NPI Number Information
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NPI Number | 1740850932
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Entity Type | Individual
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Provider Name | LINU SUSAN SUNNY MATHEW
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Gender | Female
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 14090 SOUTHWEST FWY
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City | SUGAR LAND
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State | TX
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Zip | 77478-3677
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Country | US
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Telephone | 832-630-4071
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Fax |
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Provider Business Mailing Address
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Address Line | 6565 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2703
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Country | US
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Telephone | 832-630-4071
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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 | 792498
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1019895
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1019895
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License Number State | TX
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