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General NPI Number Information
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NPI Number | 1710692090
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Entity Type | Individual
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Provider Name | KENDRA EDWARD
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Gender | Female
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Dates
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Enumeration Date | 01/20/2023
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 3003 SALUTA MIATA CT
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City | KATY
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State | TX
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Zip | 77493-4262
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Country | US
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Telephone | 504-919-4999
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Fax | 504-814-8114
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Provider Business Mailing Address
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Address Line | 3003 SALUTA MIATA CT
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City | KATY
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State | TX
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Zip | 77493-4262
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Country | US
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Telephone | 504-919-4999
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Fax | 504-814-8114
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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 | 172A00000X
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Taxonomy Name | Driver
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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