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General NPI Number Information
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NPI Number | 1871265702
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Entity Type | Individual
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Provider Name | ROBERTINE KENGNI
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Gender | Female
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 5899 PRESTON RD STE 1202
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City | FRISCO
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State | TX
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Zip | 75034-9594
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Country | US
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Telephone | 214-592-8159
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Fax |
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Provider Business Mailing Address
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Address Line | 3720 CHERRY HILLS DR
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City | SHERMAN
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State | TX
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Zip | 75090-5170
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Country | US
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Telephone | 443-360-7971
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1076993
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License Number State | TX
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