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General NPI Number Information
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NPI Number | 1063663946
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Entity Type | Individual
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Provider Name | KRISTEEN ELIZABETH KAGAL PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 4716 ALLIANCE BLVD STE 210
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City | PLANO
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State | TX
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Zip | 75093-5554
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Country | US
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Telephone | 469-800-4770
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Fax |
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Provider Business Mailing Address
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Address Line | 9456 STATE HIGHWAY 121 STE 100
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City | FRISCO
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State | TX
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Zip | 75035-6067
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Country | US
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Telephone | 214-817-4225
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Fax | 972-674-2788
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | TX
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