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General NPI Number Information
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NPI Number | 1407079817
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Entity Type | Individual
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Provider Name | KRISTEN MASSLOFSKY DRAKE CFNP
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 04/27/2016
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Provider Practice Location Address
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Address Line | 6402 MCCRIMMON PKWY SUITE 300
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City | MORRISVILLE
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State | NC
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Zip | 27560-8138
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Country | US
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Telephone | 919-467-7425
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Fax |
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Provider Business Mailing Address
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Address Line | 201 PAINTED CREEK WAY
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City | APEX
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State | NC
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Zip | 27539-5319
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Country | US
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Telephone |
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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 | 0024164062
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License Number State | VA
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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 | 4316
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License Number State | SC
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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 | 5008466
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License Number State | NC
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