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General NPI Number Information
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NPI Number | 1396030599
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Entity Type | Individual
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Provider Name | ANNE LOUISE KIESCHNIK ATP, CRTS
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Gender | Female
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 08/22/2012
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Provider Practice Location Address
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Address Line | 5201 MITCHELLDALE ST SUITE B-8
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City | HOUSTON
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State | TX
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Zip | 77092-7205
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Country | US
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Telephone | 713-392-7736
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Fax |
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Provider Business Mailing Address
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Address Line | 5502 FAIRVIEW FOREST DR.
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City | HOUSTON
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State | TX
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Zip | 77088-1244
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Country | US
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Telephone | 713-569-2415
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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