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General NPI Number Information
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NPI Number | 1205634144
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Entity Type | Individual
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Provider Name | KRISTINE ADAIMY BSN, RN, PHN, CEN
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Gender | Female
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 501 S BUENA VISTA ST
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City | BURBANK
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State | CA
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Zip | 91505-4809
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Country | US
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Telephone | 818-847-4053
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Fax |
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Provider Business Mailing Address
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Address Line | 141 S AKELEY DR
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City | GLENDORA
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State | CA
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Zip | 91741-3721
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Country | US
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Telephone | 626-319-3760
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 95137850
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License Number State | CA
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