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General NPI Number Information
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NPI Number | 1467258475
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Entity Type | Individual
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Provider Name | KELLY KRATMAN APRN
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Gender | Female
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 500 W CUMMINGS PARK STE 2550
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City | WOBURN
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State | MA
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Zip | 01801-6500
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Country | US
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Telephone | 781-376-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 242 HAYDEN RD
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City | HOLLIS
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State | NH
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Zip | 03049-6202
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Country | US
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Telephone | 603-493-5169
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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 | 067945-23
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License Number State | NH
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