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General NPI Number Information
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NPI Number | 1629763727
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Entity Type | Individual
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Provider Name | IRIS KYNARD FNP
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Gender | Female
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Dates
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Enumeration Date | 04/06/2023
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 400 UNIVERSITY PARK DR
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6784
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Country | US
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Telephone | 205-870-0786
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7410723
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City | CHICAGO
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State | IL
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Zip | 60674-0723
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Country | US
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Telephone | 609-585-1122
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Fax | 702-977-1496
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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 | 1-115266
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License Number State | AL
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