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General NPI Number Information
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NPI Number | 1134876733
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Entity Type | Individual
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Provider Name | CHELSEA M. KUHNERT
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Gender | Female
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Dates
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Enumeration Date | 03/04/2022
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 5383 STATE ROUTE 154
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City | PINCKNEYVILLE
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State | IL
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Zip | 62274-3342
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Country | US
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Telephone | 618-357-2187
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Fax | 618-357-6247
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Provider Business Mailing Address
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Address Line | 708 QUEENS WAY
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City | PINCKNEYVILLE
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State | IL
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Zip | 62274-1909
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Country | US
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Telephone | 618-357-2187
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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 | 209-024856
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License Number State | IL
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