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General NPI Number Information
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NPI Number | 1467606301
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Entity Type | Individual
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Provider Name | KERRI JILL KRUEGER NP
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Gender | Female
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Dates
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Enumeration Date | 11/05/2008
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 100 BREWSTER BLVD NAVAL HOSPITAL
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City | CAMP LEJEUNE
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State | NC
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Zip | 28547-2538
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Country | US
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Telephone | 910-450-3677
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Fax | 910-450-3774
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Provider Business Mailing Address
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Address Line | 100 BREWSTER BLVD NAVAL HOSPITAL
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City | CAMP LEJEUNE
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State | NC
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Zip | 28547-2538
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Country | US
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Telephone | 910-450-3677
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Fax | 910-450-3774
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5002818
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 19877
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License Number State | SC
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