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General NPI Number Information
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NPI Number | 1073717922
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Entity Type | Individual
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Provider Name | KRISTEN HARRISON UPTON APRN
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Gender | Female
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 496 SOUTHLAND DR
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City | LEXINGTON
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State | KY
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Zip | 40503-1827
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Country | US
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Telephone | 859-288-2425
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Fax | 859-288-7510
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Provider Business Mailing Address
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Address Line | 496 SOUTHLAND DR
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City | LEXINGTON
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State | KY
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Zip | 40503-1827
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Country | US
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Telephone | 859-288-2425
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Fax | 859-288-7510
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 3014246
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | NP-08588
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 4704340015
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 3014246
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License Number State | KY
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