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General NPI Number Information
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NPI Number | 1568993962
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Entity Type | Individual
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Provider Name | KRISTEN YUNKER MARS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 09/29/2022
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Provider Practice Location Address
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Address Line | 1900 SILVER CROSS BLVD
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City | NEW LENOX
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State | IL
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Zip | 60451-9509
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Country | US
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Telephone | 708-364-6337
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Fax |
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Provider Business Mailing Address
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Address Line | 1051 ESSINGTON RD SUITE 100
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City | JOLIET
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State | IL
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Zip | 60435-2801
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Country | US
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Telephone | 815-207-3025
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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 | 209.015792
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License Number State | IL
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