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General NPI Number Information
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NPI Number | 1932796422
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Entity Type | Individual
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Provider Name | ERIKO YUTANI KERN PA
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Gender | Female
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Dates
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Enumeration Date | 12/30/2020
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 9432 KATY FWY # 460
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City | HOUSTON
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State | TX
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Zip | 77055-6349
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Country | US
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Telephone | 832-699-7922
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Fax | 832-780-5341
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Provider Business Mailing Address
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Address Line | 8337 CRETAN BLUE LN
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City | LAS VEGAS
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State | NV
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Zip | 89128-7470
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Country | US
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Telephone | 702-408-5785
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA17887
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | PA17887
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License Number State | TX
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