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General NPI Number Information
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NPI Number | 1437408093
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Entity Type | Individual
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Provider Name | KENDRA JO BACK ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 448 CRANBERRY ST
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City | NEWLAND
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State | NC
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Zip | 28657-8800
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Country | US
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Telephone | 828-737-0221
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Fax | 828-737-0321
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Provider Business Mailing Address
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Address Line | PO BOX 1490
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City | BOONE
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State | NC
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Zip | 28607-0682
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Country | US
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Telephone | 828-262-3886
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Fax | 833-665-5329
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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 | 5021586
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9212674
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License Number State | FL
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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 | 28417
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 28417
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209031861
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN9212674
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0991706-NP
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License Number State | CO
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 041572779
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License Number State | IL
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN297601
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License Number State | GA
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