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General NPI Number Information
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NPI Number | 1649209446
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Entity Type | Individual
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Provider Name | JENNIFER K. KAINER N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 9900 BREN RD E
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City | MINNETONKA
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State | MN
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Zip | 55343-9664
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Country | US
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Telephone | 414-238-3564
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Fax |
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Provider Business Mailing Address
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Address Line | 8445 N 51ST ST
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City | BROWN DEER
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State | WI
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Zip | 53223-3001
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Country | US
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Telephone | 414-704-0863
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1722
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License Number State | WI
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