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General NPI Number Information
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NPI Number | 1801368600
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Entity Type | Individual
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Provider Name | EDNA REBECCA HEDRICK
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Gender | Female
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Dates
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Enumeration Date | 12/19/2018
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Last Update Date | 06/24/2022
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Provider Practice Location Address
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Address Line | 8405 ALMEDA GENOA RD STE U
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City | HOUSTON
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State | TX
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Zip | 77075-2569
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Country | US
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Telephone | 832-317-7852
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Fax | 713-609-9144
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Provider Business Mailing Address
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Address Line | 12022 GARNER MILL LN
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City | HOUSTON
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State | TX
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Zip | 77089-2390
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Country | US
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Telephone | 832-317-7852
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Fax | 713-609-9144
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP139721
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License Number State | TX
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