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General NPI Number Information
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NPI Number | 1417441882
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Entity Type | Individual
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Provider Name | KIRSTEN GRACE ROHDE NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 4214 38TH ST
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City | COLUMBUS
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State | NE
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Zip | 68601-1616
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Country | US
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Telephone | 402-564-1338
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Fax | 402-564-8902
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Provider Business Mailing Address
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Address Line | PO BOX 232
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City | SILVER CREEK
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State | NE
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Zip | 68663-0232
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Country | US
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Telephone | 402-276-1252
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 112482
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License Number State | NE
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