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General NPI Number Information
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NPI Number | 1427674779
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Entity Type | Individual
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Provider Name | JANELLE KAY KRIZ CNP
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Gender | Female
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 07/17/2020
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Provider Practice Location Address
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Address Line | 410 W 16TH AVE
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City | TYNDALL
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State | SD
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Zip | 57066-2318
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Country | US
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Telephone | 605-589-2190
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Fax |
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Provider Business Mailing Address
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Address Line | 41779 301ST ST
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City | TYNDALL
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State | SD
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Zip | 57066-5610
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Country | US
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Telephone | 605-660-3243
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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 | CP001768
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License Number State | SD
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