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General NPI Number Information
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NPI Number | 1134748155
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Entity Type | Individual
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Provider Name | KRISTEN ZWERNER AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/09/2020
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 3142 HORIZON RD STE 110
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City | ROCKWALL
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State | TX
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Zip | 75032-7810
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Country | US
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Telephone | 214-906-9889
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Fax |
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Provider Business Mailing Address
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Address Line | 4030 N CENTRAL EXPY APT 539
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City | DALLAS
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State | TX
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Zip | 75204-3279
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP144189
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License Number State | TX
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