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General NPI Number Information
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NPI Number | 1083345920
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Entity Type | Individual
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Provider Name | CATHRYN PALENSKE APRN
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Gender | Female
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Dates
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Enumeration Date | 06/21/2022
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 408 DELAWARE ST
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City | WINCHESTER
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State | KS
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Zip | 66097-4003
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Country | US
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Telephone | 844-536-9449
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Fax |
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Provider Business Mailing Address
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Address Line | 11923 W 132ND TER
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City | OVERLAND PARK
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State | KS
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Zip | 66213-4856
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Country | US
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Telephone | 813-766-2448
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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 | 2022019373
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License Number State | MO
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