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General NPI Number Information
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NPI Number | 1407191190
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Entity Type | Individual
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Provider Name | JOAN MARIE KILLEN PH. D. RN-C FNP
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Gender | Female
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Dates
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Enumeration Date | 12/06/2012
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Last Update Date | 12/06/2012
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Provider Practice Location Address
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Address Line | 6700 FANNIN ST TEXAS WOMAN'S UNIVERSITY COLLEGE OF NURSING
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City | HOUSTON
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State | TX
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Zip | 77030-2343
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Country | US
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Telephone | 713-794-2100
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Fax | 713-794-2103
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Provider Business Mailing Address
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Address Line | 6700 FANNIN ST TEXAS WOMAN'S UNIVERSITY COLLEGE OF NURSING
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City | HOUSTON
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State | TX
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Zip | 77030-2343
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Country | US
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Telephone | 713-794-2100
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Fax | 713-794-2103
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 430606
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License Number State | TX
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