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General NPI Number Information
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NPI Number | 1235326877
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Entity Type | Individual
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Provider Name | DONALEE KENNEDY APRN
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Gender | Female
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 03/27/2013
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Provider Practice Location Address
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Address Line | 10707 PACIFIC ST SUITE 101
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City | OMAHA
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State | NE
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Zip | 68114-4762
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Country | US
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Telephone | 402-397-7989
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Fax | 402-393-7554
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Provider Business Mailing Address
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Address Line | PO BOX 8577
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City | OMAHA
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State | NE
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Zip | 68108-0577
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Country | US
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Telephone | 402-397-7989
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Fax | 402-397-8703
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 110913
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 52963
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License Number State | NE
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