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General NPI Number Information
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NPI Number | 1245808526
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Entity Type | Individual
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Provider Name | KATHLENE REBECCA RASMUSSEN APRN-NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/14/2021
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Last Update Date | 06/14/2021
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Provider Practice Location Address
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Address Line | 1700 MARKET LN STE 410
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City | NORFOLK
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State | NE
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Zip | 68701-7368
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Country | US
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Telephone | 402-370-9515
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Fax |
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Provider Business Mailing Address
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Address Line | 55409 859TH RD
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City | PIERCE
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State | NE
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Zip | 68767-4081
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Country | US
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Telephone | 402-928-0709
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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 | 113602
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License Number State | NE
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