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General NPI Number Information
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NPI Number | 1134999311
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Entity Type | Individual
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Provider Name | KIRSTEN A VASCIK SILVA CNP
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Gender | Female
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 340 STADIUM RD STE 400
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City | MANKATO
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State | MN
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Zip | 56001-6453
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Country | US
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Telephone | 612-823-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 58150 197TH LN
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City | MANKATO
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State | MN
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Zip | 56001-7803
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Country | US
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Telephone | 802-353-8618
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11159
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License Number State | MN
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