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General NPI Number Information
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NPI Number | 1144818139
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Entity Type | Individual
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Provider Name | KABIITE MUKISA DNP, CNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/05/2021
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 405 MAIN ST STE 515
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City | HOUSTON
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State | TX
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Zip | 77002-1872
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Country | US
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Telephone | 844-991-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 405 MAIN ST STE 515
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City | HOUSTON
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State | TX
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Zip | 77002-1872
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Country | US
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Telephone | 415-343-5591
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 1021153
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1021153
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 404099
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 404099
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License Number State | NY
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