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General NPI Number Information
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NPI Number | 1174276737
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Entity Type | Individual
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Provider Name | KYLIE B CARIMI APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 700 OLYMPIC PLAZA CIR STE 850
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City | TYLER
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State | TX
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Zip | 75701-1955
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Country | US
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Telephone | 903-595-2441
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Fax | 903-595-0743
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Provider Business Mailing Address
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Address Line | 700 OLYMPIC PLAZA CIR STE 850
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City | TYLER
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State | TX
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Zip | 75701-1955
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Country | US
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Telephone | 903-595-2441
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Fax | 903-595-0743
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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 | 967479
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1150858
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License Number State | TX
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