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General NPI Number Information
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NPI Number | 1700295524
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Entity Type | Individual
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Provider Name | KERSTIN PORTER NP, HP
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Gender | Female
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Dates
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Enumeration Date | 08/06/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 403 LIMESTONE COUNTY ROAD 170
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City | GROESBECK
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State | TX
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Zip | 76642
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Country | US
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Telephone | 469-364-2448
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Fax |
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Provider Business Mailing Address
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Address Line | 403 LIMESTONE COUNTY ROAD 170
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City | GROESBECK
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State | TX
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Zip | 76642
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Country | US
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Telephone | 469-364-2448
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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