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General NPI Number Information
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NPI Number | 1811256118
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Entity Type | Individual
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Provider Name | REBECCA LEIGH KAEHR N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2012
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 2945 HAZELWOOD ST
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City | MAPLEWOOD
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State | MN
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Zip | 55109-1241
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Country | US
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Telephone | 651-232-7800
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Fax | 651-232-7940
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Provider Business Mailing Address
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Address Line | 1700 UNIVERSITY AVE W
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City | SAINT PAUL
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State | MN
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Zip | 55104-3727
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71004025A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1004025A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3749
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License Number State | MN
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