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General NPI Number Information
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NPI Number | 1093797169
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Entity Type | Individual
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Provider Name | JOHN JOSEPH KIGHT RRT, MSN, DNP, FNPC
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Gender | Male
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Dates
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Enumeration Date | 11/15/2005
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 1717 OAK PARK BLVD FL 3
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City | LAKE CHARLES
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State | LA
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Zip | 70601-8990
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Country | US
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Telephone | 337-480-8066
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Fax | 337-480-8109
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Provider Business Mailing Address
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Address Line | PO BOX 122108 DEPT 2108
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City | DALLAS
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State | TX
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Zip | 75312-2108
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Country | US
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Telephone | 337-494-2919
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Fax | 337-494-3069
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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 | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number | APO 4828
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License Number State | LA
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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 | F1105011
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License Number State | LA
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