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General NPI Number Information
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NPI Number | 1861365264
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Entity Type | Individual
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Provider Name | KAITLIN ANN BOSTON BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1118 BURLINGTON ST
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City | HOLDREGE
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State | NE
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Zip | 68949-1705
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Country | US
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Telephone | 308-995-3760
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Fax | 612-725-1054
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Provider Business Mailing Address
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Address Line | 3204 145TH RD
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City | ELM CREEK
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State | NE
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Zip | 68836
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Country | US
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Telephone | 308-995-3760
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Fax | 612-725-1054
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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 | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | 82866
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License Number State | NE
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