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General NPI Number Information
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NPI Number | 1194493957
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Entity Type | Individual
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Provider Name | AMY KRISTINE DARWIN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/05/2021
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 600 N COLLEGE AVE
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City | GENESEO
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State | IL
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Zip | 61254-1091
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Country | US
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Telephone | 309-944-6431
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Fax |
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Provider Business Mailing Address
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Address Line | 623 2ND ST W
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City | ANDALUSIA
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State | IL
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Zip | 61232-9223
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Country | US
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Telephone | 309-373-3891
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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 | A165183
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 134329
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041419166
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License Number State | IL
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