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General NPI Number Information
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NPI Number | 1235200023
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Entity Type | Individual
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Provider Name | KRISTEN KIM HEIMBUCH CRNA
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 507 S MONROE ST
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City | LANCASTER
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State | WI
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Zip | 53813-2099
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Country | US
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Telephone | 608-723-2143
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Fax |
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Provider Business Mailing Address
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Address Line | 8070 RAPHAEL DR
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City | DUBUQUE
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State | IA
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Zip | 52003-9459
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Country | US
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Telephone |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | D096122
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 6074-33
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 20913517
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1714
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License Number State | MN
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