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General NPI Number Information
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NPI Number | 1275306672
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Entity Type | Individual
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Provider Name | KRISTIE LEIGH HARTIG MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 2134 SW WESTPORT DR
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City | TOPEKA
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State | KS
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Zip | 66614-1932
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Country | US
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Telephone | 800-726-7450
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Fax |
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Provider Business Mailing Address
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Address Line | C/O MIDLAND PACE PROGRAM 200 SW FRAZIER CIRCLE
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City | TOPEKA
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State | KS
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Zip | 66606
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Country | US
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Telephone | 800-726-7450
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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 | TMP-162117
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License Number State | KS
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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 | 82783
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License Number State | KS
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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 | 133415
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License Number State | KS
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