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General NPI Number Information
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NPI Number | 1831466747
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Entity Type | Individual
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Provider Name | KRISTEN MABUS WILSON CNP
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Gender | Female
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Dates
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Enumeration Date | 11/20/2011
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 380 SERPENTINE DR SUITE 200
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City | SPARTANBURG
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State | SC
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Zip | 29303-3066
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Country | US
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Telephone | 864-560-7050
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Fax | 864-560-0800
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Provider Business Mailing Address
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Address Line | PO BOX 743070
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City | ATLANTA
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State | GA
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Zip | 30374-3070
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Country | US
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Telephone | 864-560-4304
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Fax | 864-560-4413
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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 | COA 15085 NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 207724
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | TL20205
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 20205
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License Number State | SC
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