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General NPI Number Information
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NPI Number | 1548249345
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Entity Type | Individual
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Provider Name | LISA KENNY FNPC
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Gender | Female
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1930 9TH AVE
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City | HELENA
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State | MT
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Zip | 59601-4759
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Country | US
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Telephone | 406-457-0000
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Fax | 406-457-8992
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Provider Business Mailing Address
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Address Line | 1930 9TH AVE
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City | HELENA
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State | MT
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Zip | 59601-4759
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Country | US
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Telephone | 406-457-0000
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Fax | 406-457-8981
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN17474
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License Number State | MT
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