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General NPI Number Information
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NPI Number | 1326819921
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Entity Type | Individual
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Provider Name | JACQUELINE JEANNETTE KLOSNER RN
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Gender | Female
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Dates
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Enumeration Date | 01/11/2024
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 7050 STATE HIGHWAY 80
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City | COOPERSTOWN
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State | NY
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Zip | 13326-3203
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Country | US
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Telephone | 315-985-3868
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Fax |
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Provider Business Mailing Address
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Address Line | 7050 STATE HIGHWAY 80
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City | COOPERSTOWN
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State | NY
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Zip | 13326-3203
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Country | US
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Telephone | 315-985-3868
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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 | 364SH1100X
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Taxonomy Name | Holistic Clinical Nurse Specialist
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License Number | 445289
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WM1400X
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Taxonomy Name | Nurse Massage Therapist (NMT)
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License Number | 445289
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License Number State | NY
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