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General NPI Number Information
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NPI Number | 1821997206
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Entity Type | Individual
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Provider Name | LISA KIRKE RN
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Gender | Female
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 7962 GRIZZLEY DR
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-5946
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Country | US
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Telephone | 732-556-8669
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Fax |
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Provider Business Mailing Address
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Address Line | 7962 GRIZZLEY DR
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-5946
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Country | US
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Telephone | 732-556-8669
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 1013037
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 1013037
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License Number State | TX
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