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General NPI Number Information
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NPI Number | 1417290594
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Entity Type | Individual
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Provider Name | STEVEN M. KUDER FNP-C
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Gender | Male
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 05/21/2020
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Provider Practice Location Address
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Address Line | 11510 S FORTUNA RD SUITE A
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City | YUMA
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State | AZ
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Zip | 85367-7843
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Country | US
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Telephone | 928-342-7046
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Fax | 928-342-7018
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Provider Business Mailing Address
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Address Line | 11510 S FORTUNA RD SUITE A
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City | YUMA
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State | AZ
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Zip | 85367-7843
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Country | US
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Telephone | 928-342-7046
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Fax | 928-342-7018
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 737611
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 13-93959-091
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN181518
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP7902
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-76864
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License Number State | KS
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