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General NPI Number Information
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NPI Number | 1962081638
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Entity Type | Individual
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Provider Name | THOMAS TOOLE APRN
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Gender | Male
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 2236 N LOOP 336 W
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City | CONROE
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State | TX
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Zip | 77304-3519
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Country | US
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Telephone | 936-441-2003
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Fax |
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Provider Business Mailing Address
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Address Line | 41 MILL CREEK RD
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City | POINTBLANK
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State | TX
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Zip | 77364-6562
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Country | US
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Telephone | 936-661-6118
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 915083
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1058868
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License Number State | TX
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