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General NPI Number Information
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NPI Number | 1184407165
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Entity Type | Individual
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Provider Name | KRISTI RENE DODSON-CONNER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/15/2023
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 4002 BURKE RD # 100
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City | PASADENA
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State | TX
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Zip | 77504-3451
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Country | US
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Telephone | 281-741-2982
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Fax |
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Provider Business Mailing Address
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Address Line | 6300 SEAWALL BLVD # 9201
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City | GALVESTON
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State | TX
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Zip | 77551-2219
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Country | US
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Telephone | 254-248-4185
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 984604
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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 | 1135857
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License Number State | TX
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