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General NPI Number Information
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NPI Number | 1457867913
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Entity Type | Individual
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Provider Name | MICHELE CATHERINE KIEKE PHD, MS, LGC
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Gender | Female
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Dates
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Enumeration Date | 12/20/2017
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Last Update Date | 12/20/2017
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Provider Practice Location Address
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Address Line | 640 JACKSON ST
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City | SAINT PAUL
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State | MN
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Zip | 55101-2502
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Country | US
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Telephone | 651-254-2963
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Fax | 651-254-2741
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Provider Business Mailing Address
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Address Line | REGIONS HOSPITAL 640 JACKSON STREET, MAIL STOP 11103E
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City | SAINT PAUL
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State | MN
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Zip | 55101
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Country | US
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Telephone | 651-254-2963
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Fax | 651-254-2741
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number | 1014
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License Number State | MN
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