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General NPI Number Information
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NPI Number | 1932740941
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Entity Type | Individual
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Provider Name | DENIS KIPKEMOI RONO PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 10/01/2019
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Last Update Date | 04/29/2020
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Provider Practice Location Address
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Address Line | 2700 S ROAN ST STE 425
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City | JOHNSON CITY
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State | TN
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Zip | 37601-7587
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Country | US
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Telephone | 877-258-8795
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 S ROAN ST STE 425
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City | JOHNSON CITY
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State | TN
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Zip | 37601-7587
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Country | US
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Telephone | 423-232-6281
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APN0000026472
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License Number State | TN
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