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General NPI Number Information
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NPI Number | 1851177364
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Entity Type | Individual
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Provider Name | WAN JUNG LEE FERNANDEZ MSN, APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 08/31/2023
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 7500 CAMBRIDGE ST
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City | HOUSTON
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State | TX
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Zip | 77054-2032
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Country | US
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Telephone | 713-486-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 11515 SLICK ROCK DR
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City | RICHMOND
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State | TX
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Zip | 77406-1471
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Country | US
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Telephone | 832-228-7602
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 836470
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 1166901
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License Number State | TX
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