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General NPI Number Information
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NPI Number | 1649058777
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Entity Type | Individual
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Provider Name | KRISTYN MEADOWS
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Gender | Female
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 711 E LAMAR BLVD STE 200
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City | ARLINGTON
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State | TX
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Zip | 76011-3800
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Country | US
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Telephone | 817-795-7546
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Fax | 817-385-7568
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Provider Business Mailing Address
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Address Line | 1919 S SHILOH RD STE 333
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City | GARLAND
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State | TX
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Zip | 75042-8235
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Country | US
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Telephone | 972-864-2050
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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 | 1136615
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License Number State | TX
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