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General NPI Number Information
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NPI Number | 1285113944
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Entity Type | Individual
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Provider Name | APRIL DARLENE KENOCK LVN
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Gender | Female
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Dates
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Enumeration Date | 08/13/2018
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Last Update Date | 08/13/2018
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Provider Practice Location Address
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Address Line | 4444 CORONA DR STE 144
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-4322
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Country | US
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Telephone | 361-854-1110
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Fax |
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Provider Business Mailing Address
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Address Line | 608 4TH ST
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City | CUERO
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State | TX
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Zip | 77954-2512
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Country | US
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Telephone | 979-665-5805
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 186442
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License Number State | TX
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