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General NPI Number Information
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NPI Number | 1134666050
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Entity Type | Individual
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Provider Name | KIAHNA RALPH RN
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Gender | Female
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Dates
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Enumeration Date | 01/30/2017
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Last Update Date | 08/05/2020
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Provider Practice Location Address
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Address Line | 5211 PINEWILDE DR
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City | HOUSTON
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State | TX
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Zip | 77066-2825
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Country | US
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Telephone | 704-414-0511
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Fax |
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Provider Business Mailing Address
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Address Line | 13103 MOSSY BARK LN
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City | HOUSTON
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State | TX
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Zip | 77041-4204
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Country | US
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Telephone | 704-414-0511
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 925441
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | RN68919
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License Number State | ME
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