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General NPI Number Information
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NPI Number | 1255573408
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Entity Type | Individual
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Provider Name | ANDREW THOMAS KAPPENMAN
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Gender | Male
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Dates
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Enumeration Date | 04/02/2009
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Last Update Date | 04/03/2009
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Provider Practice Location Address
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Address Line | 520 S SANTA FE AVE SUITE 260
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City | SALINA
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State | KS
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Zip | 67401-4190
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Country | US
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Telephone | 785-827-2230
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Fax |
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Provider Business Mailing Address
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Address Line | 100 SETH ST
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City | BRANDON
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State | SD
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Zip | 57005-2530
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Country | US
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Telephone | 605-929-0764
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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 | R031721
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License Number State | SD
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