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General NPI Number Information
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NPI Number | 1750060398
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Entity Type | Individual
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Provider Name | KENDALL GINA CHRISTENSON RN
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Gender | Female
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 600 S PAULINA ST STE 524
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City | CHICAGO
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State | IL
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Zip | 60612-3806
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Country | US
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Telephone | 312-942-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 60 E MONROE ST UNIT 4506
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City | CHICAGO
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State | IL
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Zip | 60603-2764
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Country | US
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Telephone | 703-606-4747
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 0001292881
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 041544053
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License Number State | IL
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