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General NPI Number Information
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NPI Number | 1821887357
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Entity Type | Individual
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Provider Name | JERI RENE KOST REGISTERED NURSE
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Gender | Female
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 2165 PROMISE RD
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City | RAPID CITY
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State | SD
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Zip | 57701-8981
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Country | US
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Telephone | 605-718-1095
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Fax | 612-725-1211
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Provider Business Mailing Address
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Address Line | 230 E PHILADELPHIA ST APT A2
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City | RAPID CITY
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State | SD
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Zip | 57701-1589
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Country | US
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Telephone | 605-390-1964
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R040222
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License Number State | SD
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