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General NPI Number Information
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NPI Number | 1841337417
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Entity Type | Individual
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Provider Name | KRISTA LIPPOLD CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 3065 DAUPHIN ST
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City | MOBILE
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State | AL
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Zip | 36606-4040
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Country | US
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Telephone | 251-271-7017
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Fax | 251-220-5536
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Provider Business Mailing Address
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Address Line | PO BOX 746063
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City | ATLANTA
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State | GA
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Zip | 30374-6063
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Country | US
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Telephone | 312-733-9730
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-066260
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License Number State | AL
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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 | R881358
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License Number State | MS
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