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General NPI Number Information
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NPI Number | 1104287507
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Entity Type | Individual
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Provider Name | DONNA JUNE KLEMENT NP-C
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Gender | Female
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Dates
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Enumeration Date | 03/11/2016
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 125 DAVIS BLVD
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City | SOUTHLAKE
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State | TX
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Zip | 76092-8209
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Country | US
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Telephone | 682-212-9104
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Fax | 682-212-0704
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Provider Business Mailing Address
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Address Line | 1014 E HIGHWAY 82 # 319
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City | GAINESVILLE
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State | TX
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Zip | 76240-2721
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Country | US
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Telephone | 940-736-5306
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | F0116338
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License Number State | TX
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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 | AP130152
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License Number State | TX
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