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General NPI Number Information
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NPI Number | 1558644377
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Entity Type | Individual
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Provider Name | KRISTY MARY REDMOND PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 63 BROAD ST
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City | PLATTSBURGH
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State | NY
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Zip | 12901-3315
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Country | US
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Telephone | 518-563-8000
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Fax | 518-563-8261
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Provider Business Mailing Address
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Address Line | 20 AMPERSAND DR
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City | PLATTSBURGH
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State | NY
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Zip | 12901-6500
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Country | US
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Telephone | 518-561-8480
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 576713
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License Number State | NY
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