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General NPI Number Information
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NPI Number | 1275977761
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Entity Type | Individual
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Provider Name | KRISTI G LIPPS ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/26/2013
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Last Update Date | 05/01/2020
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Provider Practice Location Address
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Address Line | 11176 CAMPFIELD RD
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City | WEEKI WACHEE
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State | FL
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Zip | 34614-3162
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Country | US
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Telephone | 352-812-9881
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Fax |
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Provider Business Mailing Address
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Address Line | 11176 CAMPFIELD RD
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City | WEEKI WACHEE
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State | FL
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Zip | 34614-3162
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Country | US
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Telephone | 352-812-9881
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP 9226232
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License Number State | FL
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