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General NPI Number Information
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NPI Number | 1831070010
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Entity Type | Individual
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Provider Name | SUNI JAISON JOSEPH
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Gender | Female
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 11925 SOUTHWEST FWY STE 12
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City | STAFFORD
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State | TX
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Zip | 77477-2300
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Country | US
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Telephone | 281-741-9145
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Fax |
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Provider Business Mailing Address
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Address Line | 12519 COLEMANS WAY
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City | HOUSTON
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State | TX
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Zip | 77089-1457
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Country | US
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Telephone | 713-859-4433
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1190960
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License Number State | TX
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