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General NPI Number Information
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NPI Number | 1295389690
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Entity Type | Individual
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Provider Name | REBECCA KATE MCCONNELL APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/25/2019
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 3226 N UNIVERSITY DR STE 300
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City | NACOGDOCHES
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State | TX
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Zip | 75965-3800
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Country | US
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Telephone | 936-234-8488
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Fax | 936-234-8482
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Provider Business Mailing Address
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Address Line | 3226 N UNIVERSITY DR STE 300
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City | NACOGDOCHES
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State | TX
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Zip | 75965-3800
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Country | US
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Telephone | 936-234-8488
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Fax | 936-234-8482
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP142445
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License Number State | TX
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