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General NPI Number Information
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NPI Number | 1164154514
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Entity Type | Individual
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Provider Name | KRISTJANA K RAHN PSYD, LP
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Gender | Female
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Dates
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Enumeration Date | 06/25/2022
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 2935 UNIVERSAL CT STE 2
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City | OSHKOSH
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State | WI
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Zip | 54904-6324
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Country | US
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Telephone | 844-697-8766
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Fax | 920-416-8581
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Provider Business Mailing Address
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Address Line | 1900 SILVER LAKE RD NW STE 110
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City | NEW BRIGHTON
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State | MN
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Zip | 55112-1789
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Country | US
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Telephone | 844-697-8766
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Fax | 920-416-8581
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3738-57
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License Number State | WI
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