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General NPI Number Information
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NPI Number | 1033942537
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Entity Type | Individual
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Provider Name | KIERSTON HURST
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Gender | Female
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Dates
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Enumeration Date | 08/21/2024
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 3300 NORTHWEST EXPY
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City | ATLANTA
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State | GA
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Zip | 30341
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Country | US
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Telephone | 678-548-8956
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Fax |
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Provider Business Mailing Address
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Address Line | 235 PHARR RD NE APT 2309
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City | ATLANTA
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State | GA
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Zip | 30305-2497
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Country | US
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Telephone | 706-330-3549
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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 | RN266868
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN266868
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License Number State | GA
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