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General NPI Number Information
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NPI Number | 1467457960
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Entity Type | Individual
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Provider Name | RICHARD ERNEST KINSEY R.N., B.C., F.N.P.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 03/11/2014
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Provider Practice Location Address
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Address Line | 150 S MOUNT AUBURN RD SUITE 418
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703-4911
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Country | US
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Telephone | 573-332-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 1332 PERRYVILLE RD
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63701-3808
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Country | US
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Telephone | 573-335-1830
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Fax | 573-243-4700
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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 | 107463
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License Number State | MO
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