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General NPI Number Information
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NPI Number | 1184060980
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Entity Type | Individual
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Provider Name | NATHAN EDWARD KAISER APRN
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Gender | Male
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Dates
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Enumeration Date | 05/20/2013
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 8508 W GAGE BLVD STE A101
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City | KENNEWICK
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State | WA
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Zip | 99336-8106
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Country | US
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Telephone | 509-222-1275
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Fax | 509-491-3031
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Provider Business Mailing Address
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Address Line | 16624 OAK ST
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City | OMAHA
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State | NE
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Zip | 68130-2050
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Country | US
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Telephone | 308-882-1587
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Fax | 509-491-3031
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 68507
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A133921
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 111602
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License Number State | NE
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