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General NPI Number Information
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NPI Number | 1871976852
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Entity Type | Individual
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Provider Name | KRISTYL WOOLSEY APRN
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Gender | Female
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 09/19/2016
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Provider Practice Location Address
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Address Line | 1662 HIGDON FERRY RD SUITE 230
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6999
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Country | US
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Telephone | 501-623-9581
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Fax | 501-520-4212
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Provider Business Mailing Address
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Address Line | PO BOX 21850
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City | HOT SPRINGS
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State | AR
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Zip | 71903-1850
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Country | US
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Telephone | 501-625-8400
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Fax | 501-625-8446
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ATP 000827
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License Number State | AR
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