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General NPI Number Information
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NPI Number | 1619358306
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Entity Type | Individual
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Provider Name | KENDRA RASMUSSEN APRN PMHNP
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Gender | Female
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1675 E SEMINOLE ST STE A1
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City | SPRINGFIELD
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State | MO
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Zip | 65804-2454
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Country | US
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Telephone | 417-557-2355
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Fax | 417-530-1455
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Provider Business Mailing Address
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Address Line | 1675 E SEMINOLE ST STE A1
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City | SPRINGFIELD
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State | MO
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Zip | 65804-2454
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Country | US
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Telephone | 417-557-2355
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2019003633
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2010018982
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License Number State | MO
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