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General NPI Number Information
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NPI Number | 1972136968
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Entity Type | Individual
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Provider Name | MICHELLE LYNN VON BLON MSN, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/18/2020
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Last Update Date | 11/18/2022
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Provider Practice Location Address
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Address Line | 6565 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2703
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Country | US
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Telephone | 713-790-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 8848 CAVELL ST
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City | HOUSTON
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State | TX
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Zip | 77055-6658
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Country | US
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Telephone | 281-782-0937
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP145150
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP145150
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License Number State | TX
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