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General NPI Number Information
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NPI Number | 1316233596
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Entity Type | Individual
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Provider Name | KRISTIN NICOLE TASTET NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/25/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3000 HANOVER ST BLDG 20
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City | PALO ALTO
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State | CA
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Zip | 94304-1112
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Country | US
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Telephone | 650-319-1080
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Fax | 650-319-0889
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Provider Business Mailing Address
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Address Line | 3000 HANOVER ST BLDG 20
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City | PALO ALTO
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State | CA
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Zip | 94304-1112
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Country | US
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Telephone | 650-319-1080
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Fax | 650-319-0889
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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 | 20515
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License Number State | CA
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