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General NPI Number Information
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NPI Number | 1326413949
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Entity Type | Organization
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Legal Business Name | KONNI KLUENDER, APRN, LLC
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Dates
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Enumeration Date | 12/08/2015
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 843 E 4TH ST
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City | AINSWORTH
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State | NE
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Zip | 69210-1202
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Country | US
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Telephone | 402-389-0040
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Fax |
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Provider Business Mailing Address
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Address Line | 113 WHISPERING PINES LN
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City | VALENTINE
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State | NE
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Zip | 69201-1600
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Country | US
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Telephone | 402-389-0040
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | KONNI KRISTYNE KLUENDER
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Credential | APRN
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Telephone | 402-389-0040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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