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General NPI Number Information
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NPI Number | 1699234211
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Entity Type | Individual
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Provider Name | KARYN KUDRNA APRN
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Gender | Female
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Dates
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Enumeration Date | 03/13/2019
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Last Update Date | 03/13/2019
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Provider Practice Location Address
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Address Line | 8 SALT CREEK LN
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City | HINSDALE
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State | IL
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Zip | 60521-2903
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Country | US
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Telephone | 331-221-2505
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Fax |
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Provider Business Mailing Address
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Address Line | 411 ROBIN HILL DR
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City | NAPERVILLE
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State | IL
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Zip | 60540-7324
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Country | US
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Telephone | 847-732-3568
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209019001
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License Number State | IL
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