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General NPI Number Information
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NPI Number | 1790237196
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Entity Type | Individual
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Provider Name | KRISTEN MARIE ROBERTS APRN
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Gender | Female
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Dates
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Enumeration Date | 11/01/2016
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 840 E SEMORAN BLVD STE 200
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City | APOPKA
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State | FL
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Zip | 32703-5517
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Country | US
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Telephone | 407-900-1966
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Fax | 407-647-1930
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Provider Business Mailing Address
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Address Line | 202 N PARK AVE
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City | APOPKA
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State | FL
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Zip | 32703-4148
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Country | US
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Telephone | 407-889-4711
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Fax | 407-889-7742
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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 | ARNP9287113
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License Number State | FL
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