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General NPI Number Information
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NPI Number | 1740436567
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Entity Type | Individual
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Provider Name | KRISTIN KOZUB MCCARTT NNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/12/2008
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 101 SIVLEY RD SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4470
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Country | US
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Telephone | 256-265-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 128 STONE RIVER RD
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City | HUNTSVILLE
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State | AL
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Zip | 35811-9791
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Country | US
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Telephone | 205-746-7528
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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 | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 4704266454
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 1-095609
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License Number State | AL
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