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General NPI Number Information
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NPI Number | 1255880621
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Entity Type | Individual
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Provider Name | KELLI KRISTINE HINSCH DNP
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Gender | Female
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Dates
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Enumeration Date | 09/27/2016
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 1444 2ND AVE SE
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City | SIOUX CENTER
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State | IA
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Zip | 51250-1110
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Country | US
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Telephone | 712-363-0643
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Fax | 444-059-6458
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Provider Business Mailing Address
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Address Line | 1680 DIAGONAL RD
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City | WORTHINGTON
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State | MN
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Zip | 56187-1008
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Country | US
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Telephone | 507-372-3800
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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 | CP001257
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CNP 4821
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A160254
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License Number State | IA
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