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NPI 1780393082

NPI 1780393082 : VERA WHOLE HEALTH WA PC : SUGAR LAND, TX

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General NPI Number Information
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    NPI Number           |    1780393082
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    Entity Type          |    Organization 
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    Legal Business Name  |    VERA WHOLE HEALTH WA PC 
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Dates
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    Enumeration Date     |    11/16/2022
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    Last Update Date     |    01/16/2026
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Provider Practice Location Address
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    Address Line         |    6921 BRISBANE CT STE 260 
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    City                 |    SUGAR LAND
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    State                |    TX
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    Zip                  |    77479-7094
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    Country              |    US
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    Telephone            |    281-816-5111
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    Fax                  |    281-697-4301
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Provider Business Mailing Address
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    Address Line         |    100 W TOWNE RIDGE PKWY STE 200 
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    City                 |    SANDY
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    State                |    UT
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    Zip                  |    84070-5530
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    Country              |    US
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    Telephone            |    206-395-7870
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LICENSING ANALYST & LEGAL ASST
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    Name                 |     VANYA  ELLER 
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    Credential           |    
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    Telephone            |    206-395-7870
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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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