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General NPI Number Information
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NPI Number | 1003319690
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Entity Type | Individual
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Provider Name | CHRISTINA LYNN HOYT
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Gender | Female
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Dates
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Enumeration Date | 03/09/2018
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Last Update Date | 03/09/2018
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Provider Practice Location Address
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Address Line | 5710 PATRICK HENRY CT
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City | WISCONSIN RAPIDS
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State | WI
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Zip | 54494-3484
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Country | US
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Telephone | 715-570-6169
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Fax |
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Provider Business Mailing Address
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Address Line | 6855 STATE HIGHWAY 13 34
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City | RUDOLPH
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State | WI
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Zip | 54475-9531
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Country | US
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Telephone | 715-323-0596
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 322561-31
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License Number State | WI
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