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General NPI Number Information
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NPI Number | 1841564812
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Entity Type | Organization
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Legal Business Name | EDNA GRACE DOWSON
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Dates
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Enumeration Date | 03/08/2012
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Last Update Date | 03/08/2012
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Provider Practice Location Address
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Address Line | 9898 BISSONNET ST SUITE 570
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City | HOUSTON
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State | TX
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Zip | 77036-8270
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Country | US
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Telephone | 832-333-9901
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Fax | 832-333-9902
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Provider Business Mailing Address
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Address Line | 9898 BISSONNET ST SUITE 570
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City | HOUSTON
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State | TX
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Zip | 77036-8270
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Country | US
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Telephone | 832-333-9901
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Fax | 832-333-9902
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Authorized Official
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Title or Position | OWNER
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Name | MS. EDNA GRACE DOWSON
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Credential | RN-FNP
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Telephone | 281-745-7991
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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 | 521765
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License Number State | TX
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