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NPI 1790004588

NPI 1790004588 : PAULETTE HOPE JOHNSON APN : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1790004588
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    Entity Type          |    Individual 
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    Provider Name        |    PAULETTE HOPE JOHNSON APN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/19/2010
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    Last Update Date     |    02/24/2017
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Provider Practice Location Address
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    Address Line         |    902 FROSTWOOD 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77024
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    Country              |    US
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    Telephone            |    713-468-2358
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    Fax                  |    713-468-2595
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Provider Business Mailing Address
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    Address Line         |    4545 POST OAK PLACE DR STE 130
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77027-3133
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    Country              |    US
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    Telephone            |    713-468-2358
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    Fax                  |    713-468-2595
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    577724
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    License Number State |    TX
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