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General NPI Number Information
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NPI Number | 1720881758
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Entity Type | Individual
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Provider Name | NATHELE KIANA KA'AIOHELO KAL LESA BSN
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Gender | Female
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 2172 E 7200 S
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City | SPANISH FORK
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State | UT
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Zip | 84660-9340
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Country | US
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Telephone | 801-423-5285
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Fax |
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Provider Business Mailing Address
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Address Line | 550 MING AVE STE 410
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City | BAKERSFIELD
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State | CA
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Zip | 93307
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Country | US
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Telephone |
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 4961378-3102
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License Number State | UT
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