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General NPI Number Information
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NPI Number | 1669944617
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Entity Type | Individual
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Provider Name | KRISTIN NICOLE JUNEK FNP
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Gender | Female
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Dates
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Enumeration Date | 12/31/2018
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Last Update Date | 12/31/2018
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Provider Practice Location Address
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Address Line | 2222 GREENHOUSE RD BLDG 900A
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City | HOUSTON
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State | TX
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Zip | 77084-7287
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Country | US
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Telephone | 832-667-7355
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Fax |
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Provider Business Mailing Address
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Address Line | 2320 N FERRISBURG CT
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City | SUGAR LAND
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State | TX
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Zip | 77478-1891
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Country | US
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Telephone | 832-212-4999
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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 | AP138243
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License Number State | TX
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