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General NPI Number Information
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NPI Number | 1639401110
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Entity Type | Individual
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Provider Name | BRANDIE DAWN KINNARD MSN, RN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/08/2010
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 3100 W STAN SCHLUETER LOOP
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City | KILLEEN
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State | TX
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Zip | 76549-7166
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Country | US
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Telephone | 254-220-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 811 SNOW BIRD DR
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City | HARKER HEIGHTS
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State | TX
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Zip | 76548-8834
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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 | AP142021
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | 213854
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License Number State | TX
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