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General NPI Number Information
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NPI Number | 1255949947
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Entity Type | Individual
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Provider Name | KITZIA ROOKS FNP
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Gender | Female
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Dates
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Enumeration Date | 07/19/2020
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Last Update Date | 02/11/2023
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Provider Practice Location Address
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Address Line | 15601 W STATE HIGHWAY 71 STE 280
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City | BEE CAVE
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State | TX
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Zip | 78738-2821
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Country | US
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Telephone | 805-455-7993
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Fax |
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Provider Business Mailing Address
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Address Line | 15601 W STATE HIGHWAY 71 STE 280
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City | BEE CAVE
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State | TX
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Zip | 78738-2821
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F07200242
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License Number State | TX
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