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General NPI Number Information
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NPI Number | 1326587353
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Entity Type | Individual
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Provider Name | KRISTEN RENEE NEELY-GILBERT RN, MSN, CEN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/23/2017
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 708 S 1ST ST
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City | MULESHOE
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State | TX
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Zip | 79347-3627
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Country | US
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Telephone | 806-272-4524
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Fax |
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Provider Business Mailing Address
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Address Line | 618 N 6TH ST
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City | WOLFFORTH
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State | TX
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Zip | 79382-3376
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Country | US
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Telephone | 806-789-6021
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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 | AP133321
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License Number State | TX
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