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General NPI Number Information
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NPI Number | 1932667474
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Entity Type | Individual
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Provider Name | CATHERINE TAYLOR PENCE MSN, AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 12525 MEMORIAL DR STE 390
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City | HOUSTON
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State | TX
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Zip | 77024-6050
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Country | US
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Telephone | 832-522-7800
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Fax | 832-522-7801
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Provider Business Mailing Address
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Address Line | 150 SABINE ST APT 158
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City | HOUSTON
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State | TX
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Zip | 77007-8355
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Country | US
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Telephone | 703-851-1059
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | AP140737
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License Number State | TX
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