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General NPI Number Information
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NPI Number | 1750464590
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Entity Type | Organization
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Legal Business Name | RNFA PERIOPERATIVE SERVICES P.C.
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6715 CAMPUS MEADOW DR
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City | CONVERSE
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State | TX
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Zip | 78109-3448
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Country | US
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Telephone | 210-662-0862
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Fax |
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Provider Business Mailing Address
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Address Line | 6715 CAMPUS MEADOW DR
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City | CONVERSE
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State | TX
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Zip | 78109-3448
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Country | US
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Telephone | 210-662-0862
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KIMBERLY NICHOLE GUY-WRIGHT
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Credential | RNFA
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Telephone | 210-662-0862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number |
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License Number State |
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