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General NPI Number Information
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NPI Number | 1518763002
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Entity Type | Individual
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Provider Name | KRISTI LYNN PODOLSKIY FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 1305 W 7TH ST STE 28ABC
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City | FREDERICK
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State | MD
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Zip | 21702-4102
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Country | US
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Telephone | 301-228-3600
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Fax | 301-228-3601
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Provider Business Mailing Address
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Address Line | 1305 W 7TH ST STE 28ABC
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City | FREDERICK
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State | MD
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Zip | 21702-4102
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Country | US
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Telephone | 301-228-3600
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Fax | 301-228-3601
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R233266
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License Number State | MD
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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 | NA
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License Number State | MD
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