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General NPI Number Information
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NPI Number | 1194123364
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Entity Type | Individual
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Provider Name | ALLISON M. KRAKEEL APRN
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Gender | Female
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Dates
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Enumeration Date | 12/19/2014
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 459 N HIGHWAY 52
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City | MONCKS CORNER
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State | SC
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Zip | 29461-3924
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Country | US
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Telephone | 843-899-3870
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Fax | 843-899-3877
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Provider Business Mailing Address
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Address Line | PO BOX 749306
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City | ATLANTA
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State | GA
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Zip | 30374-9306
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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 | 19136
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License Number State | SC
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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 | 19136
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License Number State | SC
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