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General NPI Number Information
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NPI Number | 1669382883
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Entity Type | Individual
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Provider Name | KRISTIE LYNN TOMS
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Gender | Female
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 2600 FERRY ST
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City | LAFAYETTE
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State | IN
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Zip | 47904-3055
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Country | US
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Telephone | 765-838-7035
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Fax |
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Provider Business Mailing Address
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Address Line | 7540 W 550 S
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City | DELPHI
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State | IN
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Zip | 46923-8837
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Country | US
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Telephone |
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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 | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | 28119353A
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License Number State | IN
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