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General NPI Number Information
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NPI Number | 1295217651
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Entity Type | Individual
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Provider Name | KAIRSTEN THIES DNP, APRN-CFM, CEFM
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Gender | Female
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Dates
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Enumeration Date | 09/02/2018
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 1200 N LASALLE ST
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City | CHICAGO
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State | IL
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Zip | 60610
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Country | US
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Telephone | 312-592-2214
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Fax | 312-266-8797
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Provider Business Mailing Address
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Address Line | 1200 N LASALLE ST
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City | CHICAGO
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State | IL
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Zip | 60610
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Country | US
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Telephone | 312-592-2214
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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 | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | 041.402404
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 209.017971
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209.017971
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License Number State | IL
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