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General NPI Number Information
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NPI Number | 1669734794
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Entity Type | Individual
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Provider Name | KIMBERLY K PIENING PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/14/2012
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 3540 VILLAGE DR STE 100
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City | LINCOLN
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State | NE
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Zip | 68516-4706
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Country | US
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Telephone | 402-483-3885
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 860876
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City | MINNEAPOLIS
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State | MN
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Zip | 55486-0876
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Country | US
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Telephone | 402-483-8590
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Fax | 402-483-8599
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1659
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License Number State | NE
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