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General NPI Number Information
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NPI Number | 1548995038
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Entity Type | Individual
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Provider Name | KELLY LYNN HOOK FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 2425 FAIRLAWN DR
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City | CARTHAGE
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State | MO
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Zip | 64836-3517
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Country | US
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Telephone | 417-237-0983
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Fax |
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Provider Business Mailing Address
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Address Line | 17324 JAYHAWK RD
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City | CARTHAGE
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State | MO
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Zip | 64836-9604
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Country | US
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Telephone | 417-388-8858
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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 | 2011005963
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License Number State | MO
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