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General NPI Number Information
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NPI Number | 1447062047
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Entity Type | Individual
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Provider Name | KAITLYN NIEBUR
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Gender | Female
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 1220 3RD AVE W
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City | DURAND
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State | WI
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Zip | 54736-1600
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Country | US
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Telephone | 715-672-4211
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Fax |
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Provider Business Mailing Address
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Address Line | N499 COUNTY ROAD D
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City | EAU GALLE
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State | WI
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Zip | 54737-9507
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Country | US
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Telephone |
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86087217
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License Number State | WI
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