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General NPI Number Information
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NPI Number | 1427263607
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Entity Type | Individual
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Provider Name | KATHLEEN ANN RUDNICK R.N.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2014 EASTERN AVE
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City | COVINGTON
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State | KY
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Zip | 41014-1530
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Country | US
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Telephone | 859-815-1092
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Fax |
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Provider Business Mailing Address
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Address Line | 11 SHELTER VIEW CT
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City | WILDER
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State | KY
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Zip | 41076-9123
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Country | US
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Telephone | 859-442-5208
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 1095225
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License Number State | KY
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