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General NPI Number Information
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NPI Number | 1396889598
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Entity Type | Individual
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Provider Name | STACEY GLEN KAHRE RN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 05/12/2009
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Provider Practice Location Address
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Address Line | 8601 N. KENTUCKY AVE SUITE I
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City | EVANSVILLE
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State | IN
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Zip | 47725-6371
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Country | US
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Telephone | 812-491-6772
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Fax | 812-491-0758
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Provider Business Mailing Address
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Address Line | 8601 N. KENTUCKY AVE SUITE I
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City | EVANSVILLE
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State | IN
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Zip | 47725-6371
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Country | US
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Telephone | 812-491-6772
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Fax | 812-491-0758
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 71001222A
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License Number State | IN
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