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General NPI Number Information
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NPI Number | 1972991743
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Entity Type | Individual
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Provider Name | KRISTA YEH RN, ANP-C
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Gender | Female
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Dates
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Enumeration Date | 01/02/2015
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Last Update Date | 10/03/2019
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Provider Practice Location Address
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Address Line | 13617 CALDWELL DRIVE
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City | AUSTIN
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State | TX
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Zip | 78750
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Country | US
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Telephone | 907-980-6957
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Fax |
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Provider Business Mailing Address
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Address Line | 12605 MONTE CASTILLO PKWY
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City | AUSTIN
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State | TX
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Zip | 78732-1630
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Country | US
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Telephone | 907-980-6957
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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 | AP126549
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License Number State | TX
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