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General NPI Number Information
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NPI Number | 1619817442
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Entity Type | Individual
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Provider Name | KARAESA DIONNE GUDGELL MSN, RN, CNO
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Gender | Female
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 540 W 15TH ST
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City | HEREFORD
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State | TX
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Zip | 79045-2820
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Country | US
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Telephone | 806-349-9123
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Fax | 806-349-9123
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Provider Business Mailing Address
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Address Line | 3534 S PROGRESSIVE RD
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City | HEREFORD
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State | TX
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Zip | 79045-7543
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Country | US
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Telephone | 806-206-0323
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | 662363
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License Number State | TX
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