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General NPI Number Information
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NPI Number | 1497245070
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Entity Type | Individual
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Provider Name | JENNIFER LINDQUIST RDN, LD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2018
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 930 CARONDELET DR STE 201
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City | KANSAS CITY
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State | MO
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Zip | 64114-4698
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Country | US
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Telephone | 816-941-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 CARONDELET DRIVE ATTN MEDICAL STAFF OFFICE PROVIDER ENROLLMENT
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City | KANSAS CITY
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State | MO
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Zip | 64114
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Country | US
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Telephone | 819-941-2222
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 2018016431
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License Number State | MO
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