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General NPI Number Information
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NPI Number | 1174460935
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Entity Type | Individual
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Provider Name | KRISTEN COPELAND BSN, RN, GERO-BC
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Gender | Female
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 4414 NORTH FWY STE 300
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City | HOUSTON
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State | TX
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Zip | 77022-3657
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Country | US
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Telephone | 415-890-0632
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Fax | 844-728-3484
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Provider Business Mailing Address
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Address Line | 23720 W HERITAGE OAKS DR
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City | PORTER
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State | TX
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Zip | 77365-6642
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Country | US
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Telephone | 415-890-0632
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Fax | 844-728-3484
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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 | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | 697660
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License Number State | TX
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