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General NPI Number Information
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NPI Number | 1255754529
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Entity Type | Individual
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Provider Name | KI RISTIA J ALLEN-LAMPE FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/22/2014
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 4941 BENCHMARK CENTRE DR STE 200
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City | SWANSEA
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State | IL
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Zip | 62226-2038
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Country | US
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Telephone | 618-972-1568
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Fax | 618-205-3561
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Provider Business Mailing Address
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Address Line | 21580 BIRG ST
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City | CARLYLE
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State | IL
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Zip | 62231-6471
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Country | US
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Telephone | 618-322-7217
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Fax | 618-227-7787
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 277002964
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License Number State | IL
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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 | 277002964
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License Number State | IL
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