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General NPI Number Information
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NPI Number | 1427948009
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Entity Type | Individual
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Provider Name | KENDALL CLARKSON
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Gender |
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 4700 SETON CENTER PKWY STE 200
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City | AUSTIN
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State | TX
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Zip | 78759-4107
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Country | US
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Telephone | 512-439-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 9100 ECHO POINT CV
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City | AUSTIN
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State | TX
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Zip | 78759-7138
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1206139
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License Number State | TX
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