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General NPI Number Information
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NPI Number | 1588653828
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Entity Type | Individual
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Provider Name | RENEE MICHELLE KINDLER FNP
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Gender | Female
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 06/14/2025
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Provider Practice Location Address
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Address Line | 7660 N HORSESHOE BEND RD STE D
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City | BOISE
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State | ID
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Zip | 83714-3800
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Country | US
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Telephone | 385-275-6447
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Fax |
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Provider Business Mailing Address
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Address Line | 8100 W MARIGOLD ST UNIT 140114
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City | GARDEN CITY
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State | ID
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Zip | 83714-2605
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Country | US
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Telephone | 385-275-6447
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 7620743-4405
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP466A
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License Number State | ID
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