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General NPI Number Information
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NPI Number | 1245814177
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Entity Type | Individual
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Provider Name | KRISTI M DROUILLARD APRN, CNP
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Gender | Female
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Dates
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Enumeration Date | 05/06/2021
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Last Update Date | 05/06/2021
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Provider Practice Location Address
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Address Line | 4405 N HOLLAND SYLVANIA RD
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City | TOLEDO
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State | OH
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Zip | 43623-3529
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Country | US
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Telephone | 419-517-0146
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Fax |
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Provider Business Mailing Address
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Address Line | 17923 W TRUE RD
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City | GRAYTOWN
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State | OH
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Zip | 43432-9702
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Country | US
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Telephone | 937-405-7283
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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 | 4704317969
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License Number State | MI
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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 | 0028671
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License Number State | OH
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