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General NPI Number Information
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NPI Number | 1114404514
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Entity Type | Individual
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Provider Name | KRISTEN WESTBERG
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Gender | Female
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Dates
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Enumeration Date | 07/27/2018
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Last Update Date | 08/14/2018
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Provider Practice Location Address
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Address Line | 427 N 11TH STREET PL
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City | ADEL
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State | IA
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Zip | 50003
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Country | US
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Telephone | 515-490-2345
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Fax | 515-478-1113
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Provider Business Mailing Address
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Address Line | 427 N 11TH STREET PL
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City | ADEL
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State | IA
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Zip | 50003-1105
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Country | US
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Telephone | 515-490-2345
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Fax | 515-478-1113
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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