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General NPI Number Information
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NPI Number | 1194375386
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Entity Type | Individual
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Provider Name | KRISTINA WILBURN APRN
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Gender | Female
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Dates
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Enumeration Date | 09/19/2019
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 8750 OHIO RIVER RD
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City | WHEELERSBURG
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State | OH
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Zip | 45694-1918
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Country | US
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Telephone | 740-574-9301
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Fax | 740-574-1651
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Provider Business Mailing Address
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Address Line | PO BOX 1595
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City | ASHLAND
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State | KY
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Zip | 41105-1595
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Country | US
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Telephone | 606-408-6200
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Fax | 606-408-6612
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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 | 388947
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP.026053
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License Number State | OH
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