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General NPI Number Information
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NPI Number | 1497305171
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Entity Type | Individual
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Provider Name | KENITHIA EVANS RN
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Gender | Female
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 06/18/2021
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Provider Practice Location Address
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Address Line | 6966 CHESSGATE FALLS LN
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City | RICHMOND
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State | TX
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Zip | 77469-1818
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Country | US
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Telephone | 832-484-2066
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Fax |
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Provider Business Mailing Address
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Address Line | 6966 CHESSGATE FALLS LN
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City | RICHMOND
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State | TX
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Zip | 77469-1818
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Country | US
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Telephone | 832-484-2066
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 811000
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 811000
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 163WP1700X
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Taxonomy Name | Perinatal Registered Nurse
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License Number | 811000
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | 811000
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 811000
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License Number State | TX
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