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General NPI Number Information
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NPI Number | 1699600205
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Entity Type | Individual
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Provider Name | DESTINEY KUPER
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Gender | Female
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 1701 LACEY ST
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63701-5230
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Country | US
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Telephone | 573-334-4822
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Fax |
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Provider Business Mailing Address
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Address Line | 10298 BCR 530
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City | ZALMA
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State | MO
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Zip | 63787-8752
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Country | US
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Telephone | 910-703-9891
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 2026016759
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License Number State | MO
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