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General NPI Number Information
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NPI Number | 1538306543
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Entity Type | Individual
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Provider Name | KRISTINA MARIE BONE APRN
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Gender | Female
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Dates
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Enumeration Date | 01/13/2009
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 9955 POPLAR TENT RD
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City | CONCORD
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State | NC
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Zip | 28027-9314
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Country | US
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Telephone | 704-316-7030
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Fax | 704-316-7031
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Provider Business Mailing Address
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Address Line | 2426 JONILA AVE
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City | LAKELAND
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State | FL
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Zip | 33803-3245
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5017937
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APRN9246244
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 5017937
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License Number State | NC
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