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General NPI Number Information
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NPI Number | 1598234635
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Entity Type | Individual
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Provider Name | TONJA CHERENE KYSER LVN
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Gender | Female
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Dates
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Enumeration Date | 11/19/2018
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 16545 CR 3302
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City | BROWNSBORO
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State | TX
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Zip | 75756
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Country | US
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Telephone | 214-356-0295
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Fax |
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Provider Business Mailing Address
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Address Line | 16545 COUNTY ROAD 3302
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City | BROWNSBORO
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State | TX
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Zip | 75756-3543
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 135274
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License Number State | TX
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