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General NPI Number Information
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NPI Number | 1346770229
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Entity Type | Individual
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Provider Name | KRYSTINE ANN GULBRAND MD
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Gender | Female
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Dates
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Enumeration Date | 06/14/2017
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 100 HOSPITAL LN STE 145
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City | DANVILLE
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State | IN
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Zip | 46122-2000
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Country | US
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Telephone | 317-386-5632
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Fax | 317-386-5633
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Provider Business Mailing Address
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Address Line | 1100 SOUTHFIELD DR STE 1370
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City | PLAINFIELD
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State | IN
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Zip | 46168-4300
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Country | US
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Telephone | 317-837-5566
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Fax | 317-837-5567
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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 | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 01085809A
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License Number State | IN
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