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General NPI Number Information
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NPI Number | 1114628617
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Entity Type | Individual
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Provider Name | KRISTINA WEHRER NP
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Gender | Female
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 168 GREEN PADDOCK CIR
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City | GUYTON
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State | GA
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Zip | 31312-7139
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Country | US
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Telephone | 240-575-4483
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Fax |
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Provider Business Mailing Address
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Address Line | 168 GREEN PADDOCK CIR
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City | GUYTON
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State | GA
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Zip | 31312-7139
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 33190
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License Number State | TN
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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 | 001707
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 27757
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2484
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1170954
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License Number State | TX
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