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General NPI Number Information
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NPI Number | 1033961073
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Entity Type | Individual
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Provider Name | STACY KERR RN
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Gender | Female
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Dates
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Enumeration Date | 04/03/2024
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 1934 ACACIAWOOD WAY
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City | HOUSTON
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State | TX
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Zip | 77051-0006
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Country | US
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Telephone | 832-771-0433
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Fax | 855-228-7878
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Provider Business Mailing Address
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Address Line | 8990 KIRBY DR STE 220
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City | HOUSTON
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State | TX
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Zip | 77054-2853
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Country | US
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Telephone | 832-771-0433
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 643210
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License Number State | TX
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