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General NPI Number Information
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NPI Number | 1386095586
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Entity Type | Individual
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Provider Name | KARA DRAVENSTOTT FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/29/2016
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 1120 KANAWHA BLVD E STE 200
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City | CHARLESTON
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State | WV
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Zip | 25301-2400
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Country | US
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Telephone | 204-400-4900
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Fax | 304-400-4906
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Provider Business Mailing Address
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Address Line | 1120 KANAWHA BLVD E STE 200
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City | CHARLESTON
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State | WV
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Zip | 25301-2400
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Country | US
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Telephone | 204-400-4900
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Fax | 304-400-4906
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | APRN83391
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN83391
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN83391-FNP-BC
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License Number State | WV
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