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General NPI Number Information
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NPI Number | 1174225098
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Entity Type | Individual
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Provider Name | KRISTEN COLE APRN
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Gender | Female
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Dates
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Enumeration Date | 03/22/2023
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Last Update Date | 05/25/2025
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Provider Practice Location Address
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Address Line | 1570 THATCHER XING
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City | CLOVER
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State | SC
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Zip | 29710-7877
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Country | US
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Telephone | 803-902-1325
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Fax | 843-790-1883
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Provider Business Mailing Address
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Address Line | 1570 THATCHER XING
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City | CLOVER
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State | SC
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Zip | 29710-7877
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Country | US
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Telephone | 803-902-1325
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Fax | 843-790-1883
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5019459
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 27077
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License Number State | SC
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