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General NPI Number Information
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NPI Number | 1174000103
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Entity Type | Individual
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Provider Name | KRISTINA MARGARET CLAYBURN FNP
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Gender | Female
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 601 DR MARTIN LUTHER KING JR AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-3619
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Country | US
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Telephone | 505-727-8360
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Fax |
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Provider Business Mailing Address
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Address Line | 9012 BILL HICKCOCK PASS
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City | AUSTIN
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State | TX
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Zip | 78748-6336
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Country | US
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Telephone | 832-493-1551
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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 | AP136089
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License Number State | TX
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