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General NPI Number Information
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NPI Number | 1942491410
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Entity Type | Individual
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Provider Name | KATHIE LYNN KOCHANOWSKY RN, ANP-C
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Gender | Female
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 10/27/2010
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Provider Practice Location Address
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Address Line | 9191 PINECROFT DR SUITE 245
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City | SHENANDOAH
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State | TX
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Zip | 77380-2796
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Country | US
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Telephone | 281-363-2277
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Fax | 281-419-3377
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Provider Business Mailing Address
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Address Line | 9191 PINECROFT DR SUITE 245
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City | SHENANDOAH
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State | TX
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Zip | 77380-2796
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Country | US
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Telephone | 281-363-2277
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Fax | 281-419-3377
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 430264
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License Number State | TX
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