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General NPI Number Information
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NPI Number | 1316989056
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Entity Type | Individual
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Provider Name | KAY L CONRADT APNP
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Gender | Female
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2701 N ONEIDA ST FOX VALLEY NEPHROLOGY PARTNERS SC
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City | APPLETON
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State | WI
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Zip | 54911
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Country | US
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Telephone | 920-730-4960
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Fax | 920-739-0953
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Provider Business Mailing Address
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Address Line | 2701 N ONEIDA ST STE D FOX VALLEY NEPHROLOGY PARTNERS
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City | APPLETON
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State | WI
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Zip | 54911
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Country | US
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Telephone | 920-730-4960
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Fax | 920-739-0953
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 235933
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License Number State | WI
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