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General NPI Number Information
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NPI Number | 1104349950
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Entity Type | Individual
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Provider Name | KRISTINA GROSS NP
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Gender | Female
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 810 RIVERSIDE DR
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City | FRANKLINTON
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State | LA
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Zip | 70438-3634
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Country | US
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Telephone | 985-289-7139
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Fax | 985-289-1640
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Provider Business Mailing Address
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Address Line | 810 RIVERSIDE DR
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City | FRANKLINTON
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State | LA
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Zip | 70438-3634
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Country | US
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Telephone | 985-515-7884
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Fax | 985-304-0081
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN133632
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP09507
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License Number State | LA
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