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General NPI Number Information
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NPI Number | 1447394655
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Entity Type | Individual
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Provider Name | KRISTEN M MCMANUS-MILLER APRN
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Gender | Female
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 03/28/2018
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Provider Practice Location Address
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Address Line | 411 OAK ST. ATTN CREDENTIALS
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City | CINCINNATI
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State | OH
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Zip | 45219
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Country | US
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Telephone | 513-984-1800
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Fax | 513-984-4909
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Provider Business Mailing Address
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Address Line | EVANS ARMY COMMUNITY HOSPITAL 1650 COCHRANE CIRCLE
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City | FORT CARSON
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State | CO
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Zip | 80913
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Country | US
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Telephone | 719-524-0200
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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 | 974
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License Number State | HI
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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 | APRN 974
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License Number State | HI
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