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General NPI Number Information
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NPI Number | 1568036598
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Entity Type | Individual
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Provider Name | EUNICE SITATIAN KAITEI AG ACNP
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Gender | Female
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Dates
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Enumeration Date | 05/14/2021
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 3301 MATLOCK RD
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City | ARLINGTON
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State | TX
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Zip | 76015-2908
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Country | US
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Telephone | 214-551-2634
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Fax |
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Provider Business Mailing Address
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Address Line | 3809 OCALA LN
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City | MCKINNEY
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State | TX
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Zip | 75070-0224
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Country | US
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Telephone | 214-551-2634
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 1012253
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1012253
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License Number State | TX
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