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General NPI Number Information
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NPI Number | 1326876178
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Entity Type | Individual
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Provider Name | BETTY CHELAGAT KIGEN AGPCNP
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Gender | Female
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Dates
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Enumeration Date | 07/23/2024
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Last Update Date | 02/22/2025
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Provider Practice Location Address
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Address Line | 5575 WARREN PKWY STE 115
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City | FRISCO
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State | TX
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Zip | 75034-4063
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Country | US
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Telephone | 405-400-7458
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Fax |
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Provider Business Mailing Address
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Address Line | 760 AGAVE DR
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City | PROSPER
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State | TX
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Zip | 75078-2254
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Country | US
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Telephone | 469-215-9730
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1168522
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License Number State | TX
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