{
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  "enumeration_type": "NPI-1",
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    "certification_date": "2026-09-03",
    "credential": "Nurse Practitioner",
    "enumeration_date": "2019-01-03",
    "first_name": "KELLY",
    "last_name": "KOENCK",
    "last_updated": "2026-09-03",
    "middle_name": "MARIE",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
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    {
      "address_1": "25897 HIGHWAY A",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PRINCETON",
      "country_code": "US",
      "country_name": "United States",
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    },
    {
      "address_1": "101 MAIN STREET",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "LINEVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "641-876-2458",
      "postal_code": "501478517",
      "state": "IA",
      "telephone_number": "641-876-2070"
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    {
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      "desc": "Registered Nurse",
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  ],
  "compliance": {
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      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "50",
        "medicare_type": "Nurse Practitioner"
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}