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General NPI Number Information
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NPI Number | 1043675770
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Entity Type | Individual
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Provider Name | KRISTIN PEARCE CNP
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Gender | Female
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 701 TECH CENTER DR STE 100
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City | GAHANNA
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State | OH
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Zip | 43230-1987
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Country | US
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Telephone | 614-396-2684
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Fax | 614-396-2480
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Provider Business Mailing Address
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Address Line | 701 TECH CENTER DR STE 250
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City | GAHANNA
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State | OH
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Zip | 43230-1987
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Country | US
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Telephone | 614-396-2684
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Fax | 315-870-9364
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.17609-NP
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License Number State | OH
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