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General NPI Number Information
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NPI Number | 1356842140
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Entity Type | Individual
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Provider Name | KRISTEN ADAMS APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 02/27/2018
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Provider Practice Location Address
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Address Line | 100 S BLISS AVE
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City | TAHLEQUAH
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State | OK
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Zip | 74464-2512
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Country | US
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Telephone | 918-458-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 3194 W IDYLLWOOD LN
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City | HULBERT
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State | OK
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Zip | 74441-2250
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Country | US
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Telephone | 918-931-9592
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 97231
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License Number State | OK
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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 | 97231
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License Number State | OK
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