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General NPI Number Information
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NPI Number | 1033937065
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Entity Type | Organization
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Legal Business Name | FOURNET HEALTHCARE LLC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 200 S ARCHIE ST
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City | VIDOR
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State | TX
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Zip | 77662-4839
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Country | US
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Telephone | 409-670-8237
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Fax |
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Provider Business Mailing Address
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Address Line | 6170 SETTLEMENT WAY
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City | VIDOR
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State | TX
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Zip | 77662-8152
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/NP
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Name | KIRSTEN FOURNET
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Credential | NP
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Telephone | 409-206-8946
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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 |
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License Number State |
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