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General NPI Number Information
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NPI Number | 1447379524
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Entity Type | Individual
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Provider Name | CHRISTENNA LOUISE KINDT FNP, RN, MSN
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Gender | Female
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 04/07/2021
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Provider Practice Location Address
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Address Line | 9330 MEDICAL PLAZA DR
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City | CHARLESTON
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State | SC
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Zip | 29406-9104
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Country | US
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Telephone | 843-847-4372
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Fax | 843-847-5187
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Provider Business Mailing Address
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Address Line | 106 GATEWOOD ST
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City | CHARLESTON
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State | SC
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Zip | 29418-3008
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Country | US
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Telephone | 843-767-2695
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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 | 1675
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License Number State | SC
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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 | 1675
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License Number State | SC
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