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General NPI Number Information
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NPI Number | 1528592409
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Entity Type | Individual
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Provider Name | KRISTEN DIRKS
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Gender | Female
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Dates
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Enumeration Date | 04/17/2017
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 6969 ARAPAHO RD
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City | DALLAS
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State | TX
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Zip | 75248-4044
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Country | US
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Telephone | 469-495-9132
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Fax |
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Provider Business Mailing Address
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Address Line | 5655 W. SPRING CREEK PKWY STE 200
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City | PLANO
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State | TX
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Zip | 75024
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Country | US
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Telephone | 972-599-9600
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Fax | 972-599-9696
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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 | AP134215
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License Number State | TX
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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 | AP134215
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License Number State | TX
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