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General NPI Number Information
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NPI Number | 1871489864
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Entity Type | Individual
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Provider Name | KRISTEN TOOMA MSN, APRN, AGNCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 4 SMITH HAVEN MALL STE 110
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City | LAKE GROVE
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State | NY
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Zip | 11755-1219
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Country | US
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Telephone | 631-444-6270
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Fax |
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Provider Business Mailing Address
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Address Line | 24 RESEARCH WAY STE 500
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City | EAST SETAUKET
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State | NY
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Zip | 11733-3470
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Country | US
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Telephone |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 311343
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License Number State | NY
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