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General NPI Number Information
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NPI Number | 1366848244
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Entity Type | Individual
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Provider Name | KIRSTIE HOOTEN
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Gender | Female
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 06/20/2022
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Provider Practice Location Address
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Address Line | 8260 PRECINCT LINE RD
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76182-8608
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Country | US
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Telephone | 618-231-2373
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Fax |
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Provider Business Mailing Address
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Address Line | 5633 SANTA ELENA CT
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City | FORT WORTH
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State | TX
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Zip | 76126-4995
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Country | US
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Telephone | 618-231-2373
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | TX
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