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General NPI Number Information
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NPI Number | 1184381303
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Entity Type | Individual
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Provider Name | JENNIFER JO KUCIFER APRN- NP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/22/2021
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 655 W 200 N STE 100
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City | CEDAR CITY
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State | UT
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Zip | 84720-2467
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Country | US
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Telephone | 435-263-0253
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Fax |
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Provider Business Mailing Address
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Address Line | 655 W 200 N STE 100
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City | CEDAR CITY
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State | UT
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Zip | 84720-2467
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Country | US
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Telephone | 435-263-0253
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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 | 9867404-4405
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License Number State | WI
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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 | 9867404-4405
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License Number State | UT
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