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General NPI Number Information
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NPI Number | 1194058909
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Entity Type | Individual
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Provider Name | REGINA MARIE KAHNERT CNP
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Gender | Female
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Dates
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Enumeration Date | 09/10/2009
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 254 CLEVELAND AVE STE 101
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City | AMHERST
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State | OH
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Zip | 44001
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Country | US
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Telephone | 440-455-3090
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Fax | 440-984-7182
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Provider Business Mailing Address
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Address Line | PO BOX 378
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City | SANDUSKY
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State | OH
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Zip | 44871-0378
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Country | US
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Telephone | 419-609-1112
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Fax | 419-502-3511
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 10843
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License Number State | OH
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