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General NPI Number Information
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NPI Number | 1447735253
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Entity Type | Individual
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Provider Name | DENA R KAMMAN-RASCHE NP
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Gender | Female
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 10/19/2020
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Provider Practice Location Address
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Address Line | 800 W 9TH ST
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City | JASPER
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State | IN
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Zip | 47546-2514
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Country | US
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Telephone | 812-996-0626
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Fax | 812-996-5606
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Provider Business Mailing Address
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Address Line | 800 W 9TH ST
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City | JASPER
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State | IN
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Zip | 47546-2514
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Country | US
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Telephone | 812-996-8478
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Fax | 812-996-0214
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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 | 71008526A
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License Number State | IN
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