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General NPI Number Information
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NPI Number | 1578646832
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Entity Type | Organization
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Legal Business Name | NORTHEAST KANSAS MULTI-COUNTY HEALTH DEPARTMENTS, INC.
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 03/20/2019
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Provider Practice Location Address
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Address Line | 907 S 2ND ST
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City | HIAWATHA
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State | KS
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Zip | 66434-2774
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Country | US
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Telephone | 785-742-7192
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Fax | 785-742-4237
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Provider Business Mailing Address
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Address Line | 907 S 2ND ST P.O. BOX 182
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City | HIAWATHA
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State | KS
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Zip | 66434-2774
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Country | US
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Telephone | 785-742-7192
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Fax | 785-742-4237
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | KRISTINA NICOLE ROMINE
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Credential |
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Telephone | 785-742-7192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | KSA007001
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License Number State | KS
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