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General NPI Number Information
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NPI Number | 1386954741
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Entity Type | Individual
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Provider Name | KRISTEN J BAYER FNP
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Gender | Female
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Dates
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Enumeration Date | 10/19/2010
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Last Update Date | 03/05/2012
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Provider Practice Location Address
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Address Line | 11200 LINCOLN HWY
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City | MOKENA
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State | IL
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Zip | 60448-8208
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Country | US
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Telephone | 708-478-1821
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CVS DR ATTN: MINUTECLINIC CREDENTIALING 2100
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City | WOONSOCKET
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State | RI
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Zip | 02895-6146
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Country | US
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Telephone | 401-770-1690
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Fax | 401-652-2032
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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 | 3177692
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License Number State | FL
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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 | 209009339
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License Number State | IL
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